Join Catalyst's Future of Public Oral Health Implementation Workgroups Name* First Last Email* PhoneHome AddressIf you are willing, please include your physical HOME address below - Catalyst collects this information to help partners connect with the legislators during the legislative session. Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Age Under 18 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65+ years old Gender Female Male Non-binary/third gender Prefer not to say Prefer to self-describe Race and Ethnic Background (select all that apply) Native American Indian or Alaska Native Hispanic or Latino Asian Black or African American Native Hawaiian or Other Pacific Islander White Some other race, ethnicity, or origin Job Title* Organization* Discipline Primary Care Physician or Physician's Assistant Oral Health Provider Prenatal Care Provider Nurse or Nurse Practitioner Community Health Worker Social Worker Public Health Professional Nonprofit Professional Other Implementation Workgroups Workforce: Strengthen the Virginia oral health workforce Technology: Adopt technologies that meet people where they are and promote care coordination and integration Data: Data informs health care decision making Integration: Value the importance of good oral health to reach total health Implementation Workgroups meet every 6 weeks. Meeting dates will be determined by the group at the initial meeting. Workforce and Technology began meeting in Feburary 2021, Data and Integration will begin meeting in June 2021. I would like to receive Catalyst's email newsletters
