About Your CEO/Founder
Please list an additional marketing person we should contact with any information we may have to disseminate. This person may be a direct report, a colleague, an Admin, etc.
Does your health system have an innovation office, government relations staff, or someone who works with start-ups, RFP cycles, or state Medicaid? We want to help leverage your membership by connecting these people with HT4M staff. Please provide their information below.
Please list an additional person who should receive our invitations, updates, opportunities and emails. This person may be a colleague, a direct report, an Admin, etc.
By signing below, I certify that my organization will and is able to pay our annual membership dues.