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Capitol Hill Meeting Debriefing Form

Please complete this form following each of your meetings on Capitol Hill during Engage 2025. The information you provide will help your Washington-based government relations team follow-up promptly and effectively on your lobbying visits.

Dr(s)(Required)

Students and other attendees

State

Contact Email(Required)

Enter Email Confirm Email

Phone

Met With

Senator/Rep.

Aid

Senator/Representative Met

Prefix First Last

Aid Met

Prefix First Last

On Aid To:

Prefix First Last

Meeting Date

Meeting Time

Priority Issues Discussed:

Chiropractic Medicare Coverage Modernization Act

Other

If other, please explain:

Please indicate if support or a specific action was pledged on a priority issue, or if more information was requested. Also, indicate if there were any specific concerns or questions raised during the meeting that can be addressed through follow-up efforts.

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