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Sign Our Solidarity Statement

 

We believe that every person possesses a right to healthcare, regardless of his or her status in society. We further promote that society has a duty to provide access to affordable and equitable healthcare for all.

Please fill out the following information to sign the solidarity statement. Fields marked with an asterisk (*) are required.

Note: We will never share your personal information with anyone else. By signing the statement, you affirm that you agree with our Solidarity Statement and agree to let us list your name on a page listing the supporters of our Solidarity Statement.

 

Title
First Name*
Last Name*
Email*
Address*
Address 2
City*
State*
Zip Code*