Support the RPM Access Act
Please sign the below letter to Congress requesting additional cosponsors to the Rural Patient Monitoring Access Act (S. 1535/H.R. 3108). A one-pager can be found here.

The Rural Patient Monitoring (RPM) Access Act (S. 1535/H.R. 3108) would ensure Medicare patients in rural and underserved communities have access to remote physiologic monitoring services, which lower costs and improve access to care by using technology to collect and transmit patient health data to healthcare providers.

** NOTE: This letter is open to organizational signatories only. Please do not complete this form if you are not authorized to sign on behalf of your organization.
Sign in to Google to save your progress. Learn more
Letter
Organization *
(Please enter AS YOU WOULD LIKE IT LISTED ON THE LETTER - FULL ORGANIZATION NAMES PLEASE). Only one authorized representative/organization needs to complete this form.
Contact First and Last Name *
Used only for records - your name and title WILL NOT appear as a signer on this letter. Only complete form if you are authorized to sign on behalf of your organization
Contact Job Title *
Your name and title WILL NOT appear as a signer on this letter. This is for communication and coordination about the letter. 
Contact Email Address *
Your name and title WILL NOT appear as a signer on this letter. This is for communication only. 
How would you categorize your organization? *
FOR INTERNAL USE
Authorization *
**NOTE: This letter is open to organizational signatories only. Please do not complete this form if you are not authorized to sign on behalf of your organization.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report