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SaveMIHeart Involvement
Fill out this form to become more involved with SaveMIHeart.
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First Name
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Last Name
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Email Address
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Cell Phone
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Address
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Zip Code
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Organization (What organization do you work for or work with?)
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Are you a Survivor of Cardiac Arrest?
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What are you most interested in (select all that apply)?
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Community (AED / Bystander CPR / CPR Training / School CPR / Heartsafe Communities)
911 Dispatch / Telephone CPR (Improving coverage / T-CPR Training / Legislative efforts)
EMS (Best practices for management of OHCA / quality improvement / high quality CPR / Training)
Hospital (Best practices for management of OHCA / quality improvement / Training)
Recovery (Survivor / Survival Team / Support Groups)
CARES registry (Cardiac Arrest Data collection / Improvements / Recruitment)
Research (Publish work / CARES data / community intervention)
Advocacy (Awareness / Legislative / Fundraising)
Other:
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List any other areas of interest or current work you are doing to improve Out of Hospital Cardiac Arrest in Michigan:
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