NJ Healthcare Providers: Learn More About Our LGBTQ-Affirming Research Survey
Garden State Equality and the Rutgers School of Public Health are partnering to map and expand LGBTQ-affirming healthcare providers across New Jersey, and we are building a website portal where you can easily find affirming, vetted providers.
In advance of that, we are conducting a statewide research survey to learn where those affirming providers are and assure they are professionally and culturally competent.
If you are a healthcare provider, please add your contact information below, and we will send you more information about our research survey.
Please do not use a personal email address. Please use your professional workplace email address.
Your Practice or Hospital Affiliation
Field or Speciality
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Garden State Equality.