Operation: Hurricane Healthcare Recovery Nurses Needing Nurses #wecare4u
Welcome and Thank You So Much for your assistance as many Healthcare Communities rebuild after recent hurricanes!! Many donors have expressed interest in helping nurses and healthcare professionals impacted recently. This form will be used collect contact info for those individuals impacted by the recent hurricanes. No need is too small. We seek to help as many as possible and are not limiting the campaign to nurses alone but rather those frontliners including first responders. All contact info provided on this form will be kept confidential. This will help us keep track of the effectiveness of this campaign as well as those needing assistance.
Nurse's First Name:
Your answer
Nurse's Last Name:
Your answer
Nurse's Email:
Your answer
Phone:
Your answer
Nurse's employer?
Your answer
If nurse needs additional assistance, may we contact them?
Any specific needs?
Your answer
Comments/Feeback:
Your answer
Those impacted may be contacted to determine their level of need. If you have any questions, feel free to email love4Nurses@motivello.com or call 901-969-4618 for more information.
Organizers
Thank you again for supporting the Healthcare Community as it rebuilds from recent the recent hurricanes.
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