Please complete this brief survey.

All fields are required.

Where do you reside, (so we can identify important contacts for legislative districts)
1. Current credential
2. Do you have an associate degree?
3. Are you currently working to achieve the 2,000 hours required by the Texas Medical Board for a Licensed Surgical Assistant?
4. Type of employer:
5. If you are an independent contractor, what % of your cases are Medicaid cases?
6. IF you are not currently a Texas Licensed Surgical Assistant, are you interested in becoming one?