Vot-ER CCEP Digital Tools Request Form
THE DUE DATE TO ORDER TEXTS WAS 8/22/22. If you're ordering texts after this date, please reach out to your Vot-ER contact let us know.

If you plan to send nonpartisan texts to your patients about voting as part of the Community Civic Engagement Program at Vot-ER, please fill out the form below so we can craft customized texts messages for your health center.
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Name *
Email *
Health Center Name *
State *
My organizer/contact person at Vot-ER is:
What language would you like your texts to be in?
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What is the cost per text with your current patient messaging platform? Please note if there's a flat fee where you don't pay per text. *
How many people are subscribed to messages on your patient messaging platform/how many patients can you reach through your text messaging platform? *
If your health center pays per text, approximately what is your budget for sending these texts? (Consider your total amount of funds awarded and how much funding you need for other things you plan to implement.)
The AMA has passed a resolution that voting is a social determinant of health. We know some health centers have restrictions on sending non-health related texts. Do you have any questions or concerns related to sending these texts?
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