NRG Member Information Form

To better understand our membership, NRG Oncology has created a membership database that will contain information for our members and staff. This allows us to better track our members’ professional roles, institutional affiliations, and overall member composition. The self-reported information you provide will be stored securely and only accessed by authorized NRG Oncology personnel. We are asking all members to participate even if your participation is to elect to opt-out entirely after reporting your name and contact information. If you elect to provide your information, the form will take you less than 3 minutes. Most questions include a “prefer not to answer” option. Learn more about this initiative on our webpage. For any questions about the form, please contact Membership@nrgoncology.org.

Select one of the options below to complete the NRG Member Information Form.