Campaign for Meds Management (CMM) Pledge Form
Thank you for your interest in the Campaign for Meds Management.
By completing this form you are agreeing (“pledging”) to participate in the Medication Safety LAN Events AND engage in at least one of the following: share a tool or resource, share a story or experience with the CMM team, or promote shared decision-making in your practice.
Please indicate which of these groups applies to you. Check all that apply.
Community Support Group/Organization
Skilled Nursing Facility/LTC
If other, please specify below:
State or Territory
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