Submission Form for CGTA Find a GC Map 
The CardioGenomic Testing Alliance (CGTA) and is developing an interactive “Find a Cardio GC” map that can be utilized to find a genetic counselor for their needs. If you would like to be included in the map, please fill out all questions included in the form. At the moment, this map is intended to focus on the Americas region.

This form will be publicly available on the CGTA website. By filling out this form, you agree to allow the below information to be public.  If you have any questions, please contact nsanzo@conafaygroup.com
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