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Menu
About
Our Vision
Our Mission
Our Core Values
Get Support
Know Your Rights
Ask for help
Make a Report
Find Your Health Facility
Find Your Patient Organization
Important Numbers
Get Involved
Individual Membership Form
Organizational Membership Form
Health Innovation TT
Videos
Contact Us
POTT Individual Member Application
Name
Email
Phone Number
Address
Why do you want to become a member of POTT?
Do you have any expertise, experience and/or education in health or healthcare systems which you would like to contribute? If so, please describe.
Is there any specific project to improve healthcare outcomes you would like to pursue?
Do you agree to adhere to all of our
N.I.C.E values
? Non-Political | Inclusive | Collaborative | Empathetic?
Yes
No
If No, please indicate what you do not agree to, and why?
Submit
About
Our Vision
Our Mission
Our Core Values
Get Support
Know Your Rights
Ask for help
Make a Report
Find Your Health Facility
Find Your Patient Organization
Important Numbers
Get Involved
Individual Membership Form
Organizational Membership Form
Health Innovation TT
Videos
Contact Us
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