Doctor's Petition to Elected Officials
As a Kentucky Physician, I request that you nominate judges who will stop Partial Birth Abortions.***
Name** ______________________________________________
Degree** ______________________________________________
Speciality** ______________________________________________
Addess of Practice ______________________________________________
City, State, Zip ______________________________________________
E-mail ______________________________________________
Phone ______________________________________________
County ________________________________________________
*Email address or other contact information preferred
**Indicates required information for petition to be catalogued
***See PDF file for download below