Thank you for proposing a Clinton Health Matters Initiative (CHMI) Commitment to Action. Your contribution to improving the health of others is essential and greatly appreciated.
You may download our PDF application form or use the electronic form below to submit your Commitment.
Once finalized, CHMI will use the information contained in this form to communicate your commitment to the public. This information will also be used by CHMI as we consider featuring opportunities throughout the year and at the 2014 annual Health Matters Conference in January.
Please limit your response to 600 words or less. *
Please limit your response to 600 words or less