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International Patient Access App Attestation for Directory Listing
Completing the attestations below submits a request to be evaluated for inclusion in the IPA Directory.

We commit to follow the International Patient Access IG available at https://hl7.org/fhir/uv/ipa/ and we have reviewed, understand, and have a production-ready app that complies with the open standards and specifications noted above. (See minimum technical requirements). *
Developer Organization Name *
Developer Organization Website
In which provinces, states, territories and countries is your application available for use?
(Please provide <province>, <country> per line).
*
Public-facing Developer Contact Email *
Application Name *
Application Website URL (if different from Developer Organization)
App FHIR CapabilityStatement URL
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