The Patient Community@HELP

Goal: To provide a platform for patients and health care providers to connect, to help improve the doctor-patient relationship.

Get Involved ! Whether you are a medical student, a physician, a patient or a caregiver, we need you.

If you are doctor, you can take a workshop ! If you are an expert patient, you can help other patients !

We are inviting registrations to The Patient Community @ HELP.

For more Information Click here.

Tell us why you would like to join The Patient Community@HELP and we will send you an invitation to join in.

APPLICATION FOR MEMBERSHIP TO

THE PATIENT COMMUNITY@HELP

Patient/Volunteer/Physician/Medical Student/Other Health Care Provider

Please insert your digital photograph here.

NAME:

ADDRESS:

CONTACT NO:

EMAIL ID:

Why I want to join this community:

Signature.

Date: