Tia's #WellWomanForAll Sign Up
To celebrate the one year anniversary of the Tia Clinic and International Women's Day, Tia is introducing a #WellWomanForAll initiative to increase access to high quality preventive healthcare services that we believe should be core and accessible to *all women*.

One in five millennial women are uninsured and substantially more are underinsured, which makes accessing preventive healthcare services mandated under the Affordable Care Act, like your annual Well-Woman Exam, all-too-difficult for too many women.

To address this access barrier, Tia is donating 100 Tia Memberships and 100 fully-paid for Well-Woman Exams to any woman (18+ years of age) who self-identifies as uninsured, underinsured or don't have an insurance plan that works at Tia.

Memberships and appointments will be given out on a first come first service basis. Please complete the short form below!

(Given that spots are limited, if you have an insurance plan that the Tia Clinic accepts, please apply for a waived membership instead to ensure that we preserve spots for women who cannot afford the cost of services themselves. Email sayhello@asktia.com for more info).
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What's your first name? *
What's your last name? *
What's your phone number? *
Why are you interested in a Tia Clinic Membership and a free Well-Woman Exam? *
Do you have health insurance? *
Required
If answered Yes, what health insurance do you have?
How old are you? (At this time, Tia can only see patients 18+) *
How did you hear about Tia? *
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