Welcome

Thank you for your interest in joining the Global Health Impact Network.Please take a few moments to complete the form below to finalize your registration.

First Name

Last Name

Phone

Country

City

Clinician type (if applicable)

Specialty (if applicable)

Are you a current medical student?

Yes

NPI Number (if applicable)

Company Name (if applicable)

Are you an entrepreneur?

Yes

How did you hear about GHIN?