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MAVEN Project Sign Up Information

Last Updated:

6/18/2020

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Your Address

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to MAVEN Project.

The MAVEN Project: Mr. Brown...

Mr. Brown,

It looks like you recently submitted an inquiry to The MAVEN Project, a telehealth nonprofit supporting primary care providers working in safety net clinics.

I couldn''t tell from your inquiry form what you wanted to know. Are you affiliated with a safety net clinic and want to know about our services and become a clinic partner? Are you a physician looking to learn more about volunteer telehealth opportunities? Please let me know how I can help.

Thank you.

Best,

Jill

Jill Einstein, MD
Director of Physician Engagement
The MAVEN Project
Medical Alumni Volunteer Expert Network
jeinstein@mavenproject.org
?(617) 641-9743 x713?

Confidentiality Notice: This e-mail and any attachments thereto are intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail by error, please immediately notify me by return e-mail and permanently delete the original and any copy of this e-mail message or attachment and any printout thereof. This email is the property of The MAVEN Project.

.emailview

Raw Data Registration Structure Registration Form Text

Registration

What is the full legal name of your organization?

First name

Last name

Title

State

Please select...

Please mark your three highest areas of need, based upon volume:

Addiction Medicine

Adolescent Medicine

Allergy & Immunology

Allergy & Immunology Pediatric

Cardiology

Cardiology Pediatric

Dermatology

Endocrinology

Endocrinology Pediatric

Family Practice

Gastroenterology

Gastroenterology Pediatric

Genetics

Geriatrics

Gynecology

Hematology

Hematology Pediatric

Hepatology

HIV/AIDS

Infectious Disease

Infectious Disease Pediatric

Integrative Medicine

Internal Medicine

Lipidology

Nephrology

Nephrology Pediatric

Neurology

Neurology Pediatric

Neuro-Oncology

Oncology

Oncology Pediatric

Ophthalmology

Ophthalmology Pediatric

Orthopedics

Orthopedics Pediatric

Otolaryngology

Otolaryngology Pediatric

Pain Management

Palliative Care

Palliative Care Pediatric

Pathology

Pediatrics

Physical Medicine Rehab

Psychiatry

Psychiatry Geriatric

Psychiatry Pediatric

Pulmonary Disease

Pulmonary Disease Pediatric

Rheumatology

Rheumatology Pediatric

Urology

Urology Pediatric

Please select...

Please select... Alumni Association Brochure Conference Event Individual Referral Newspaper Online Search Professional Organization Facebook Google LinkedIn Twitter Television VolunteerMatch Unknown

Data Name	Data Type	Options
What is the full legal name of your organization?	Text Box
First name	Text Box
Last name	Text Box
Title	Text Box
Email	Text Box
State	Text Box
	dropdown	Please select...
	checklist	Please mark your three highest areas of need, based upon volume:
	checklist	Addiction Medicine
	checklist	Adolescent Medicine
	checklist	Allergy & Immunology
	checklist	Allergy & Immunology Pediatric
	checklist	Cardiology
	checklist	Cardiology Pediatric
	checklist	Dermatology
	checklist	Endocrinology
	checklist	Endocrinology Pediatric
	checklist	Family Practice
	checklist	Gastroenterology
	checklist	Gastroenterology Pediatric
	checklist	Genetics
	checklist	Geriatrics
	checklist	Gynecology
	checklist	Hematology
	checklist	Hematology Pediatric
	checklist	Hepatology
	checklist	HIV/AIDS
	checklist	Infectious Disease
	checklist	Infectious Disease Pediatric
	checklist	Integrative Medicine
	checklist	Internal Medicine
	checklist	Lipidology
	checklist	Nephrology
	checklist	Nephrology Pediatric
	checklist	Neurology
	checklist	Neurology Pediatric
	checklist	Neuro-Oncology
	checklist	Oncology
	checklist	Oncology Pediatric
	checklist	Ophthalmology
	checklist	Ophthalmology Pediatric
	checklist	Orthopedics
	checklist	Orthopedics Pediatric
	checklist	Otolaryngology
	checklist	Otolaryngology Pediatric
	checklist	Pain Management
	checklist	Palliative Care
	checklist	Palliative Care Pediatric
	checklist	Pathology
	checklist	Pediatrics
	checklist	Physical Medicine Rehab
	checklist	Psychiatry
	checklist	Psychiatry Geriatric
	checklist	Psychiatry Pediatric
	checklist	Pulmonary Disease
	checklist	Pulmonary Disease Pediatric
	checklist	Rheumatology
	checklist	Rheumatology Pediatric
	checklist	Urology
	checklist	Urology Pediatric
	dropdown	Please select...
	dropdown	Please select...
	checklist	Please select... Alumni Association Brochure Conference Event Individual Referral Newspaper Online Search Professional Organization Facebook Google LinkedIn Twitter Television VolunteerMatch Unknown

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