Join Catalyst's Future of Public Oral Health Implementation Teams 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 AgeUnder 1818-24 years old25-34 years old35-44 years old45-54 years old55-64 years old65+ years oldGenderFemaleMaleNon-binary/third genderPrefer not to sayPrefer to self-describeRace 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 Teams Workforce: Strengthen the Virginia oral health workforce Technology: Adapt technologies to meet people, patients, and providers where they are Data: Employ data to improve outcomes and patient experience Integration: Value the importance of good oral health to reach total health Implementation Teams will meet every 6 weeks. Meeting dates will be determined by the group at the initial meeting. Workforce and Technology will begin meeting in Feburary 2021, Data and Integration will begin meeting in June 2021. I would like to receive Catalyst's email newsletters
