• PQMD Partnerships

    We are excited to capture your partnership in action. Please take a moment to fill out this quick form to indicate which other PQMD members you partner with. We are interested in cross-sector as well as same-sector partnerships for all your access-to-health programs. We would like you to employ a generous connotation of partnership, in order to capture the full effect of our network. 
  • Please check ALL of the organizations you have collaborated with in the past 2 years or have plans to collaborate with next year (3 year span). For the purpose of this exercise, we are interested in all forms of collaboration, including but not limited to: product donations, cash donations, joint-programs/projects, service delivery, volunteer efforts, etc.

  • Please click ALL of the areas in which you work.
  • Thank You!

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