Name *

First Name

Last Name

Phone

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Will you become a Taskforce Member?

Yes

Maybe, but I would like more information

I would like to (check all that apply)

Join the Advocacy Committee - Help push for policy reforms eliminating race based clinical guidelines.

Endorse Policy Recommendations - Advocate for standardized, evidence-based care.

Host a conversation - Bring a D-ERBMT Townhall to your workplace, community, or professional network.

Support a Legislative Initiative - Collaborate on advancing equitable healthcare policies.

Commit my organization to ending race based medicine - Advocate for internal policy changes.

Other