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Rupa Health Pilot Program Application
We'll use this application to determine if you're a good fit for our program. We'll work with doctors. Here's more information about our Pilot Program:
https://content.rupahealth.com/virtual-clinic-pilot
If you have any questions, please email Rosa at
rosa@rupahealth.com
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What's your name?
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Email address?
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Phone number?
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Birthday?
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Where are you located?
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California (CA)
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Colorado (CO)
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