Regional Meeting Interest Form Basic Information Thank you for your interest in attending the RHTP Regional Meetings! These meetings will be held in communities across the state beginning April 2026. Each meeting will focus on the host community as well as the surrounding region (for example, the Anchorage meeting will also include participants from nearby communities such as Eagle River and Chugiak). The purpose of these meetings is to discuss challenges, opportunities, and data related to the RHTP goals for that region.To ensure broad participation, meetings will be hosted in communities across Alaska, including hub and rural locations. Initial meetings are scheduled for: Region Date Seward April 29, 2026 Kenai Peninsula April 30, 2026 Fairbanks May 5, 2026 Mat-Su June 4, 2026 Additional meetings are being planned in other regions throughout the state as we work to reach as many communities as possible.To give us a better sense of your role and interest, please provide the following information. Space at these meetings is limited, and we will unfortunately be unable to accommodate all requests to attend. Spots are limited to community members, stakeholders, and health services professionals. Requests from out-of-state entities or vendors will not be considered. Question Title * Please provide your first and last name. Question Title * Please provide your email address. Question Title * Which of the following best describes your role? (select all that apply) Prevention or social services provider (eg, assisted living, care coordinator, Tribal social services, homeless provider, community-based organization) Health services professional (eg, primary care, hospital, behavioral health, public health, FQHC, EMS) Government professional (eg, law enforcement, fire department, school district, municipal/city/borough council) Tribal entity member or employee (eg, Tribal health organization, Tribal government, Tribal corporation) Community member Other (please specify) Question Title * Please list the organizations that you represent, including your role (eg, board member, employee, volunteer, etc.). Question Title * Which of the following is most accurate for you and/or your community? There is currently a confirmed meeting scheduled for my community or region that I am interested in attending. My community is independently engaging in regional planning, and I am interested in discussing opportunities to collaborate with DOH. There is not a meeting planned for my community, but I would like DOH to consider hosting one. Next