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New Mexico Health Professionals for Climate Action -- Please Join
A new group for all New Mexicans who work in health (+ students, retirees, trainees) including health care, medicine, nursing, community health, public health, pharmacy, dentistry, and other allied health fields.
We welcome all members of the health community to join us. We can – and must – all be climate advocates.
Please share your information so we can stay in touch!
* Indicates required question
Email
*
Your email
Name
*
Your answer
Profession--check all that apply
*
Physician
Advanced Practice Provider
Nurse
Public Health
PT, OT, Respiratory Therapist, Speech/Language
Social Worker or other Behavioral Health Professional
Community Health Worker/Promotora/CHR
Health Council Leader/Member
Pharmacy
Other:
Required
If Other Profession, please describe
Your answer
Degrees/Credentials
Your answer
Job Title
Your answer
Affiliation: Organization or College or Other
*
Your answer
How would you like to get involved?
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Ready to roll up my sleeves -- let me know what I can do now
I'm very interested but can't commit right now -- please be in touch later
Please send me emails -- I want to get updates on climate issues and what I might do
Currently or in the future, I would like to get involved in (check all that apply)
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Advocacy
Education and Research
Community Outreach
Fundraising
Communications
Membership and Recruitment
Reducing my organization's carbon emissions
Other
Required
If "Other"" what are you interested in doing?
Your answer
What county you live in?
*
Your answer
Your Zip Code
Your answer
Phone number (for texting)
Your answer
How did you hear about NMHPCA?
Your answer
Anyone else you would suggest we contact? Please share name and email and we will reach out. Thanks!
Your answer
Anything else you'd like us to know? Thank you so much for your interest!!
Your answer
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