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Join the Partnership to Reimagine Health Care

Please complete the Partnership registration form. Once you submit the form, we will contact you in 3-5 business days.

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First, please tell us what type of organization you’re with.

Your name
Do you have questions or need assistance in completing this form?
Address
Address
(e.g., city, county, state)
This helps us match you with any information we already have about your organization.
Aims
Which of these are most important to you? (select all that apply)
Does your organization have an emergency preparedness plan?
Does your organization have an emergency preparedness plan?