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Equitas Health Sign Up Information

Last Updated:
2/8/2020 1
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Raw DataRegistration StructureRegistration Form Text
Registration
Advocacy Alerts
First name
Last name
Email
Advocacy Alerts
Tell us what kind of Equitas Health news you’d like to receive.
LGBTQ+ Health Equity Trainings
Advocacy Alerts
Volunteer Opportunities
LGBTQ+ Health Equity Trainings
Special Events
Volunteer Opportunities
Gateway Newsletter
Special Events
Cincinnati
Gateway Newsletter Where are you most likely to engage in health services?
Columbus
Cincinnati
Dayton
Columbus
Other
Dayton
Data Name Data Type Options
Advocacy Alerts   Text Box
First name   Text Box
Last name   Text Box
Email   Text Box
Advocacy Alerts   checklist Tell us what kind of Equitas Health news you’d like to receive.
LGBTQ+ Health Equity Trainings   checklist Advocacy Alerts
Volunteer Opportunities   checklist LGBTQ+ Health Equity Trainings
Special Events   checklist Volunteer Opportunities
Gateway Newsletter   checklist Special Events
Cincinnati   checklist Gateway Newsletter Where are you most likely to engage in health services?
Columbus   checklist Cincinnati
Dayton   checklist Columbus
Other   checklist Dayton

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Comment on: 01/09/2020

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