Newport Hospital Community Forum Registration
Thank you for your interest in the 2019 NEWPORT HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT. Join us for a meal and facilitated discussion at one of the community health forums listed below. We look forward to hearing directly from you about your community’s health needs. Your input will help shape our strategic planning for the next three years. For more information, please visit www.lifespan.org/our-community or call (401) 444-8009.
Name(s) *
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Email (in case we need to contact you)
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Phone Number (in case we need to contact you)
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Which forum will you attend? *
Dietary Restrictions
The forums will be conducted in English unless otherwise indicated. However, language interpretation is available. If you require interpretation, please indicate the language needed.
Child care is available for children ages 2-12. Please indicate if you will need child care.
If you answered yes for child care, please list the age(s) of the child(ren).
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