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Sign up to receive the patient education brochure and companion poster on extreme heat
Full Name and Credentials
Title and Organization
City and State
How will you use the brochure?
I am a clinician and will use the brochure in my clinical practice.
I am a sustainability leader at my hospital and will share the brochure with our hospital clinicians.
I am a medical, nursing, or public health instructor and will share the brochure with my students.
I am interested in the brochure for my own personal knowledge about climate and health.
Approximately how many patients do you plan to educate using this material?
Please tell us a bit more about how you plan to use the brochure and companion poster (optional).
Yes, I am interested in providing patients who read the brochure with a brief survey to assess its effectiveness.
Please contact me with information about the survey.
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