EmailMeForm
Zoom Registration
Name
*
First
Last
Email
*
Street Address
Address Line 2
State
City
Zip Code
*
We're asking for your zip code and email address to help us organize local workgroups. Once we get ten interested people in an area, we'll bring those people together to figure out how they can best bring primary care to everyone in their community.
Mobile Phone
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May we text you at this number?
Yes
No
Second Phone
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Which Zoom event are you registering for?
*
Please select
How NYC Care helps provide care for to everyone in NYC on October 15, 2024 at 8:30pm (EST)