Medicaid Expansion Call In Day Report
Use this form to log the calls you made in support of Medicaid Expansion.
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Which offices did you call and leave a message? *
Check the box(es) of all offices you called
Required
How did the offices repond to your calls? *
Please summarize the response you got from each office you called
Which offices did you send an email to? *
Required
Did you encounter any problems when making these calls?
Example: Line was busy, staff/aid did not let me leave a message, voicemail was full
Did you share the call in information with anyone else?
Via email, social media, distribution list, etc.
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What's your first and last name?
What's your zip code?
What's your email address?
Check below if you'd like to recieve email updates about Medicaid Expansion.
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