Single Payer Day on the Hill 2020
Join us on Wednesday morning March 18th, 2020 at the Minnesota State Capitol!
Hosted by Physicians for a National Health Program Minnesota (PNHP MN) and Healthcare for All Minnesota (HCAMN)
If health professional, please designate MD, DO, PA, PhD, PharmD, RN, CNP, Medical Student, etc.
Secondary Phone Number (home or work)
Address, City, Zipcode
Address where you work or your permanent family address if you are a student
Tell us a little about your experience at the capitol: Have you met with legislators before? If so, how many times? About what topics?
Special Request: Do you want to meet with your own legislator/s, or would you prefer to meet with different ones?
We will try to accommodate all requests
It is costly to put on a day on the hill! Can you help make it possible by donating today?
Yes! Please go to
Not right now
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service