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Coalition Engagement Survey
Do you want to be more engaged with the Central Florida Disaster Medical Coalition? There are many opportunities listed below. Please let us know which one(s) interest you!
1.
I am interested in serving on the following committees/workgroups (check all that interest you):
Emerging Infectious Disease Collaborative
Disaster Behavioral Health Response
Regional Medical Assistance Team
Family Assistance Center Response Team
Regional Mass Casualty Exercise Planning Committee
Pediatric Workgroup
Trauma Committees
Radiation Surge Workgroup
Chemical Surge Workgroup
Crisis Standards of Care Workgroup
EMResource Steering Committee
Other (please specify)
2.
Your name:
3.
Your email address:
4.
Your phone number: