To request pins for your ceremony

Please request pins at least ONE MONTH before your scheduled ceremony date.

This form is available to administrators of White Coat Ceremonies at accredited institutions. If you are a student requesting a replacement pin, please contact

By requesting Keeping Healthcare Human pins from the Arnold P. Gold Foundation you agree to recognize the Foundation’s gift in published materials with the statement: “Keeping Healthcare Human  pins provided as a gift from the Arnold P. Gold Foundation, initiators of the first White Coat Ceremony in 1993.”

For more information, contact Michelle Sloane, Grants/Programs Manager, at

Pin Request Form