HealthTrustNFT Beta Waitlist Form

1

Full Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Please enter a valid phone number.

4

Are you interested in using HealthTrustNFT for:

My own medical records

My children or family

Research or clinical trials

General Interest

Other

5

Would you like to receive updates about our official launch, events, and educational resources?

Yes, keep me in the loop

No, only email me about beta access

6

(Optional) Tell us why you're interested in joining HealthTrustNFT:Your story helps us prioritize the right features