Join ND Palliative Care Taskforce

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First Name *

Last Name *

Title/ Credentials *

Discipline/ Job Title *

Agency/Organization *

City *

Email address *

Cell phone number (prefer text or call) *

Areas of interest in ND Palliative Care expansion *

Help with building the ND Palliative Care statewide website

Access and location of palliative care providers and palliative care services throughout North Dakota

Education and resources for patient and families

Education and resources for providers and healthcare professionals/clinicians

Reimbursement and sustainability for the interdisciplinary palliative care team, especially in the community.

Any of the above

Other:

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