Heart 2 Heart Collaborative Interest Form

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Heart 2 Heart Collaborative is a non-profit organization made up of parents, caregivers, and hospital staff who believe in quality, holistic patient-family care for heart families at the Duke Pediatric & Congenital Heart Center. In order to effectively impact patient-family care, we collaborate with providers, strengthen support for families, and educate ourselves and others as we work to enhance the heart family experience.

Name:

E-Mail Address:

How did you hear about Heart 2 Heart?

Are you interested in getting involved with Heart 2 Heart?

Would love to!

Not at this time.

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If you answered "yes" to the question above, how so?

Fundraising Campaigns

Non-Profit Management

Parent/Family Support

All things tech!

Other:

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Are you interested in receiving occasional e-mail updates from Heart 2 Heart?

Sure!

No, thanks.

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