In-District Meeting Registration
Welcome to the GBIO Health Care Legislative Campaign! GBIO is engaged in this campaign to:

• Lower the cost of prescription drugs
• Increase access to affordable mental health care
• Regulate out-of-network surprise billing

Complete this form if you want to meet your state representatives to talk about health care. We will use the information in this form to identify your legislative district and connect you with other people from the same district across GBIO institutions.

The information we are gathering is the same information that is requested when you call your state representative or senator. It will only be used as part of this GBIO Health Care campaign.

Thanks!
Institution *
First Name *
Your answer
Last Name *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy