Regional Health Equity Academy in System Transformation Interest Form
If your organization is interested in Families USA holding a regional training on health equity in system transformation please complete this form.

To learn more about the Health Equity Academy in System Transformation, visit https://www.familiesusa.org/our-work/health-equity-academy-in-system-transformation/.

If you have any questions about the regional training, please contact Raven Gomez at rgomez@familiesusa.org.
Name (First/Last) *
Email Address *
Phone Number *
Job Title *
Organization *
Organization Address (Including state, city, and zip code) *
How would this training benefit your region? *
What health care delivery changes is your state considering and when would these be implemented? *
What existing health equity organizations or coalitions are pushing for and against these changes in your state? *
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