Sign Up Form for the DTRF's 2023- 2024 Patient Advocacy Committee (PAC)

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Thank you for your interest in The DTRF's Patient Advocacy Committee.

By joining PAC, we hope you'll continue to engage with The DTRF by attending quarterly meetings; participating in our subcommittees and other opportunities for patient engagement; and being active in promoting our events/message via social media. The DTRF asks for a 1 year commitment.

This will be a dynamic committee, and we will be sharing new information and opportunities as they arise.

Please fill out the form below by ***June 1st *** to join this committee.

Thank you again!

Email *

Name *

Currently, I'm interested in the following subcommittees below. (As we move forward, additional subcommittees will be formed.)

Running for Answers Subcommittee

I look forward to learning about additional subcommittees

Here are some ideas/ offerings I've been thinking about which support The DTRF's core mission:

Please sign me up for a 1 year commitment with the PAC. I look forward to future communications regarding this new initiative. *

I agree

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