Join the Texas PSR Environmental Health Committee

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Thank you for your interest in the Environmental Health Committee. This committee brings together health professionals who are passionate about addressing the intersection of health and environmental issues. Please complete this brief form so we can learn more about your background and interests.

First Name *

Last Name *

Email Address *

Street Address

City/State/Zip *

Phone Number

What is your primary health professional field? *

Physician (MD/DO)

Nurse (RN/NP/LVN)

Public Health Professional

Community Health Worker

Mental Health Provider (Psychologist, Therapist, etc.)

Environmental Health Scientist

Epidemiologist

Medical or Health Student

Health Educator

Social Worker

Dentist or Oral Health Professional

Allied Health Professional

Other:

Are you currently practicing in your field? *

Yes

Retired

Student

Other:

How would you like to contribute to the committee? (Check all that apply.)

Attend regular monthly meetings

Participate in policy advocacy

Assist with public education/outreach

Support research or data collection

Help plan events or trainings

Provide technical expertise

Serve as a liaison with professional associations

Other:

Is there anything else you'd like us to know?

Submit

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