CAFP Policy Proposal/Resolution Form

Use this form to submit your policy proposals by February 12, 2024 to the CAFP All Member Advocacy Meeting or submit at any time during the year to the CAFP Board of Directors. Proposals may include the endorsement of a county chapter or signatures from Active members but they are not required. Members are encouraged to follow the format below to enable the Academy to engage in knowledge-based decision making.

Download the Resolution Submission Guide to review.

Date

Have you consulted the CAFP Policy Manual and AAFP website to ensure existing AAFP and CAFP policy does not already address the concerns?

YesNo

Introduced by:

AAFP/CAFP Member ID

First Name

Last Name

Proposed Policy Title

Co-Author Names

If this submission does not have co-authors, please put N/A.

Endorsed by (name):

(endorsement is not required)

Whereas...

Include all Whereas statements here.

, therefore be it RESOLVED: That...

Include all Resolved clauses here.

Speaker's Notes:

Fiscal Note:

1. PROBLEM STATEMENT: What specific practice problem does this resolution seek to solve, or, if this resolution pertains to a proposed new CAFP policy or change of policy, what issue does it seek to address?

2. PROBLEM UNIVERSE: Approximately how many CAFP members or members’ patients are affected by this problem or proposed policy?

3. SPECIFIC SOLUTION: What specific solution are you proposing to resolve the problem or policy, i.e., what action do you wish CAFP to take?

EVIDENCE: What evidence exists to: 1) indicate that a problem exists; OR 2) that there is a need for a new or revised policy?

5. CITATIONS: Please provide citations to support the existence of the problem and your proposed solution.

Contact Information