Thank you for your interest in serving alongside our team for your local Converging Roads conference! Please complete this form so we can get to know you, and your conference coordinator will follow up with next steps.

Please also click here to complete the Christian Medical and Dental Association (CMDA) Disclosure Form. This form is required by the CMDA for application and approval of CME/CNE credits. Should you have any questions, please email [email protected] or the conference coordinator who shared this link with you.