Please complete the application below to complete the application process. Feel free to call the AATOD office at 212-566-5555 extension 105 or email us at email@example.com if you need assistance.
First Name (required)
Last Name (required)
Street Address (required)
Email Address (required)
Professional Interests: (Please check all that Apply)
Pharmacological IssuesDual DiagnosisPregnancy and Neonatal AddictionTreatment Outcome ResearchMedications DevelopmentAddiction Medicine in Criminal Justice SystemCross-Cultural Clinician Concerns
By typing in your full name and today's date, you agree to follow the Canon of Ethics linked here.