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Public Comment on Notice of Proposed Rule Making for Inclusion of Sexual Orientation and Gender Identity Questions in EHRs

Please fill in each box below to be included in the letter. We will only include your organization's name, the respondent name and email address will be kept confidential.
1.Respondent Name (First, Last, Suffix)(Required.)
2.Respondent Email Address(Required.)
3.Organization Name (as you would like it to appear on the letter)(Required.)