28%

DHAN Work Groups 2026-2027 - Interest Form

Thank you for your interest in participating in a Disability Health Action Network (DHAN) Work Group! DHAN Work Groups bring together cross-sector partners and people with lived experience to advance shared priorities related to disability health equity. For more information about DHAN, please visit https://dhanpa.org/.

Participation is open to anyone interested in contributing to a Work Group’s area of focus. We will be in contact with you after submitting the form to provide you with more detailed information about participation. If you have any questions in the meantime, please reach out to [email protected].

Contact Information

First Name

Last Name

Email Address

City

Zip Code

Which category best describes your organization or professional affiliation? Select all that apply.

Advocacy organization

Community-based organization

Disability service provider

Foundation or funder

Government agency

Healthcare system or provider

Insurance or managed care organization

Professional association

Research institution or higher education

I am participating as an individual and am not representing an organization

Other

Powered by QuestionPro

Loading...

Custom Title