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About
Mission
Participants
News
Governance
State & National RHIO Program
Sources of Patient Data
Communications Connection
Doctors Participating in the Rochester RHIO
Communications Connection
Please fill this form out with information about your organization's resources for communicating to your constitutents.
Email:
info@grrhio.org
Phone: 1-877-865-RHIO
First Name
Last Name
Street Address
City
State
Select a State
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ZIP Code
Email
Website
Publications: Printed or Online
Title
Editor/Contact
Audience
Circulation
Includes Photos/Graphics?
Please Select One
Yes
No
Frequency
Title
Editor/Contact
Audience
Circulation
Includes Photos/Graphics?
Please Select One
Yes
No
Frequency
Title
Editor/Contact
Audience
Circulation
Includes Photos/Graphics?
Please Select One
Yes
No
Frequency
Resources: Please indicate which of the following communications resources most interest you:
Very Interested
Possibility
Not Applicable
Newsletter Articles
Newsletter Advertisements
RHIO Guest Speaker Presentation
Poster
Counter Card
Employee Email Update
Employee Paycheck Stuffer
RHIO Brochure
Special Event Program Ads
Website Link
Bold fields are required.