Patient Advocate Membership

This membership is for experts in advocating for patients, caregivers, and survivors.

Recommended support from patient advocate members.

Price:

$25 for 13 Months

First Name:* First Name Required

Last Name:* Last Name Required

Organization (If a student, name your school):* Organization (If a student, name your school) is Required

Job Title:* Job Title is Required

Country:* Country is Required

State/Province:* State/Province is Required

City:* City is Required

Years of professional experience:* Years of professional experience is Required

Years of professional experience in digital medicine:* Years of professional experience in digital medicine is Required

Other Fields of Expertise: Other Fields of Expertise is not valid

Job Function:* Job Function is Required

Other Job Function: Other Job Function is not valid

Gender Identity:* Gender Identity is Required

Other gender identity: Other gender identity is not valid

Ethnic Origin:* Ethnic Origin is Required

Other Ethnic Origin: Other Ethnic Origin is not valid

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Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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**DiMe is an inclusive environment that values diversity in thought, expertise, and demographic background. DiMe does not discriminate on the basis of age, gender identity or expression, or ethnic origin. In order to track the effectiveness of our outreach efforts and ensure we consider the needs of all our members, please consider the following fields.

Patient Advocate Membership

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