Help us advocate for issues that matter to you!

Tell us about a trend you are seeing or share a story that illustrates a critical issue in the life of someone you serve.

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* 1. What is your first and last name?

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* 2. At what email address would you like to be contacted?

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* 3. Please select your primary field of practice:

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* 4. In what state or U.S. territory do you currently work?

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* 5. Are you submitting a trend or sharing a story?

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* 6. If this is a trend in the field, how long have you been tracking this trend?

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* 7. For a story, please provide a description of your story or trend.  Include any actions taken. 500 words or less.

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