Thank you for your support and participation in the NY HIMSS Chapter Advocacy Initiative. In order to keep our momentum and maintain engagement with our legislators, we would appreciate taking a few moments to complete the following questions. You may contact Rick Sughrue, NY HIMSS Advocacy Chair at advocacy@himssnys.org with any questions.

* 1. Your name:

* 2. Email address:

* 3. Phone:

* 4. Name of representative:

* 5. Date of the meeting:

* 6. Please describe the discussion points that were of particular interest to your legislator:

* 7. Please describe any follow-up actions requested:

* 8. Please provide any suggestions for improvement or key themes needed for the next meeting:

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