Join PCHC

Thank you for your interest in joining the Partnership for Clear Health Communication (PCHC). In order to get necessary information on your organization for program planning and materials, we ask that you complete the following questions.

Please remember to hit the Submit button at the bottom of the page once you have completed the form.

Organization:
Contact Person:
Title:
Address:
City:
State:
Zip:
Telephone:
E-mail:
Organization's Web site:

1. How would you like your organization to be listed?
   
   
2. Please provide a brief description of your organization.
   
3. How did you hear about PCHC?
   
4. Please provide an e-mail address for anyone in your organization that would like to receive the PCHC e-newsletter on health literacy.
   (Separate multiple e-mails with commas)
   

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