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Current Company / Organization
Current Position / Job Title
What healthcare sector do you work in?
Clinical (Doctor, Nurse etc.)
Healthcare Management, Hospital Administration
Investor (e.g. Angel, V.C.)
Life Sciences (e.g. Pharma, Device, Diagnostic)
Payor (e.g. Commercial, Government)
Provider (e.g. Hospital, Physician Services, Outpatient)
Public Health (e.g. Research, Advocacy, Government)
What is your predominant functional area?
Why are you interested in becoming a member of BYHP?
How do you hope to contribute to the organization?
If you were referred by a BYHP Member, please provide their name