Healing Communities Study

Thank you for your interest in helping to shape the communications for the HEALing Communities Study. Please complete the form below to join the group.

* indicates required

Email Address *

First Name *

Last Name

I am a... *

Loved One of Person with Opioid Use Disorder
Person with Opioid Use Disorder
Health Care Provider (MD, RN, NP, RPh) or First Respodner
Elected Official or Opinion Leader (e.g., employer, religious leader, CBO leader)
Media Professional
Interested Community Member

Zip Code *

Are you 18 years or older? *

Yes
No