NAMHC Open Policy Session Registration Form

Contact Information

Name:

Affiliation:

Phone:

E-mail address:

Meeting Attendance

Travel Information

Please indicate method of travel.

ACCOMODATION

Individuals with disabilities who need sign language interpreters and/or reasonable accommodation to participate in this event should get in touch with the contact person. Requests should be made at least 10 days in advance of the event.

COMMENTS:

Any member of the public interested in presenting oral comments to the committee may notify the Contact Person at least 10 days in advance of the meeting. Interested individuals and representatives of organizations may submit a letter of intent, a brief description of the organization represented, and a short description of the oral presentation. Only one representative of an organization may be allowed to present oral comments and if accepted by the committee, presentations may be limited to five minutes. Both printed and electronic copies are requested for the record. In addition, any interested person may file written comments with the committee by forwarding their statement to the Contact Person listed on this notice. The statement should include the name, address, telephone number and when applicable, the business or professional affiliation of the interested person.

CONTACT PERSON FOR COMMENTS OR SPECIAL ACCOMODATIONS

Phyllis Quartey-Ampofo at 301-443-8530 or quarteyp@mail.nih.gov