HIV Video Series
NHMA is seeking physicians and healthcare providers who treat Hispanic/Latinx patients living with HIV to create a short (1-2 minute) video on who you are, your organization, the importance of HIV prevention/treatment and how you treat your minority patients living with HIV.
Fill out this form and we will contact you with more information:
If you have any questions, please contact
bmelano@nhmamd.org
.
* Required
First Name
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Your answer
Last Name
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Your answer
Suffix (MD, MPH, PhD, etc.)
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Your answer
Title
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Your answer
Organization
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Your role in HIV treatment/prevention in minority communities:
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Your answer
Are you an NHMA Premier member?
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Yes
No
Additional Information
Your answer
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