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Please use this form to receive information on meetings and activities of the Pennsylvania Maternal Health Collaborative. This collaborative, formed in 2024, is organized to share strategies and move towards action to improve maternal health outcomes for communities of color, with a focus on health disparities rooted in social determinants of health (SDOHs) and systemic racism in medicine. In 2025, we expect to hold quarterly, virtual meetings, sharing information on successful initiatives and strategizing about how healthcare, government, social services, community-based organizations and others can work together to improve maternal health.

By providing your information below, you are committing to receiving emails about progress and invitations to convenings. Please share this survey with others who may be interested.

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* 1. Name

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* 3. Company / Organization Name

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* 4. Title/Role

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* 5. Address

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* 6. Phone

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* 7. A focus of the collaborative will be sharing information. Please use the space below to briefly describe activities you would like to share with the collaborative. (OPTIONAL)

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* 8. Please use the space below to make any suggestions or ask any questions for the collaborative. (OPTIONAL)

Thank you for completing this survey. Please share with others you think would be interested in joining the Collaborative. If you have any other questions and comments, please contact the Family Medicine Education Consortium (Scott Allen, scott.allen@fmec.net).

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