Join ACTION for PDTs
ACTION for PDTs is a broad-based coalition working through awareness-building, education, and advocacy to expand access to innovative prescription digital technology that improves therapeutic outcomes for individuals with chronic diseases.  

Please lend your voice to ACTION for PDTs by joining below. We will not share your personal information, and there is no fee for joining. If you have any questions, please email us at ACTIONforPDTs@gmail.com 

Sign in to Google to save your progress. Learn more
Your first and last name *
City, State, Zip Code *
Phone number
Name of your organization, if applicable (please type "N/A" if not applicable) *
Affiliation (check all that apply) *
Required
Is your work focused on a specific therapeutic area? If so, which one(s)?
Are you interested in eliminating barriers to access for innovative therapies like PDTs?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report