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Community Resource List 
Please help us build a community resource list that can continue to grow. Ultimately this would help us create an ecosystem of care for folx in their childbearing years + onward.
 
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Contact Name *
Name of your practice *
Are you apart of a collective or organization?
Languages Spoken?  *
What is your role? (choose all that apply) *
Required
Contact Info (Email, Website, Socials, Phone #) *
What demographic do you serve primarly? (choose all that apply) *
Required
What type of support do you offer? (choose all that apply) *
Required
Let’s talk schmoney! (choose all that apply) *
Required
Specific eligibility for folx to access you? *
Do you offer in person, virtual or both? *
Required
What area do you serve? (choose all that apply) *
Required
Your approach to care? (choose all that apply) *
Required
Can we share your information publicly? *
Would you like to include any other info, we haven’t asked? *
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