Common Health Coalition: Compendium Submission Form
Please use this form to share examples of your work that focus on bridging the gap between health care and public health. Your submission will be added to our compendium to help other organizations learn from your success.
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Organization name *
Your full name *
Your email address *
State of organization headquarters *
Please select the topics that best reflect the work described in your submission *
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Please describe your organization’s work happening at the intersection of health care and public health (max of 300 words). Refer to our compendium for examples from other organizations. *
Add links to relevant sources of related information about the work (e.g. website, articles, research, news, youtube videos, etc.)
Please check the box below to give the Coalition permission to publish your submission.  *
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