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340B Advocacy Participation Form
Thank you for taking part in HealthNet’s advocacy efforts to stop the 340B Rebate Pilot. Please complete this form after taking action. Your response helps us track participation in real time.
*
1.
Did you participate in the 340B Advocacy Day on
Wednesday, Dec. 10
by contacting one or more of your Senators by phone or email?
(Required.)
Yes - by phone
Yes - by email
No
*
2.
What is your primary HealthNet work location?
(Required.)
Barrington Health & Dental Center
Bloomington Health Center
Downtown Health Center
Martindale-Brightwood Health Center
Northeast Health Center
People's Health & Dental Center
Southeast Health & Dental Center
Southwest Health & Dental Center
Specialty Care at Barrington
Speedway Health & Dental Center
Healthy Families
Homeless Initiative Program
Administration
Genesis Plaza (Revenue Cycle, HIM, EMR, SHAW, Clinical Education, etc.)
School-Based
Patient Access Center
Triage
Other - Board of Directors Volunteer