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Six Core Elements — Customizable Version Request

Thank you for your interest in health care transition improvement! Got Transition is interested in knowing how and where these health care transition tools may be implemented. Please provide the following information to download the Word document packages. Providing this information is very much appreciated!

Organization*
Mailing Address*
City*
State*   or Province*
Zip/Postal*   Country*
Contact First Name*
Last Name*
Email Address*
Phone
Which of the three versions of the Six Core Elements would you like to download?*
Transitioning Youth to Adult Health Care Providers:
     for use by Pediatric, Family Medicine, and Med-Peds Providers
Transitioning to an Adult Approach to Health Care Without Changing Providers:
     for use by Family Medicine and Med-Peds Providers
Integrating Young Adults into Adult Health Care:
     for use by Internal Medicine, Family Medicine, and Med-Peds Providers
All three packages

Briefly, how will your organization be using the tools you have requested?*


Do we have your permission to contact you in 6 months about your experiences using the tools?*
Yes   No


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Got Transition™ is a program of National Alliance Logo The National Alliance to Advance Adolescent Health supported by U39MC25729 HRSA/MCHB