LeadingAge Advisory Group Interest Survey

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LeadingAge is excited to announce, starting in March, two separate monthly, virtual Home Health and Hospice Advisory Groups for all interested members. Please take a minute to complete this brief survey to confirm if you would like to be included in these Advisory Groups moving forward.

Home Health Advisory Group
First Tuesday of Every Month
Tuesday, March 1st 2022
2:00-3:00 PM ET

Hospice Advisory Group
Second Tuesday of Every Month
Tuesday, March 8th 2022
2:00-3:00 PM ET

Name *

Agency *

Title *

Email *

What state is your agency primarily located in? *

Are you a home health or hospice agency? *

Home Health

Hospice

Both Hospice and Home Health

Other Provider Agency

Which Advisory Group would you like to join?

Select all that apply.

Home Health Advisory Group

Hospice Advisory Group

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