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Tell Your Doctors about SHARE

Do your doctors SHARE?

If your health care providers are not listed in the participating provider directory, fill out the form below and ask them to join SHARE. We will route your request to your doctor and follow up with information about how to join SHARE.

Your doctors and other health care providers can give you better care and avoid mistakes if they have access to your complete medical history, such as lab tests, medication history, problem lists, current drugs and dosages, allergies, and other health reports. By having access to a more complete medical history, you can make better-informed decisions about your care plan with your providers, thus improving the quality of your care and avoiding costly medical errors.

Your Information
Please provide your first name.
Please provide your last name.
Please provide a valid email address.
Please provide a valid phone number.
Your Doctor's Information
Please provide your doctor's first name.
Please provide your doctor's last name.
Please provide the name of your doctor's facility.
Please provide the name of the city.
Please provide your zip code.
Please check all that apply.
Would you like to receive monthly e-mails with updates about SHARE and the hospitals and clinics that have joined?
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