OpenHIE Partner Organization Agreement

 

1Information
2Sharing
3Statement
4Agreement



This agreement is intended to be completed by organizations in the process of formalizing a partnership with OpenHIE.

The OpenHIE secretariat team documents organizational capabilities in order to formalize partnerships by populating our website and for partnership promotional purposes.

Please provide the name of the organization as it should be displayed in all official communications:

Contact Name(Required)

Please provide the full name (First/Given and Last/Family) of the official organizational contact the OpenHIE secretariat should contact with partnership needs.

Please provide the email address for the official organizational contact:

Please upload the organization's logo using a high-quality, transparent background, as a png file. (This will be uploaded to the OpenHIE website as well as used in some presentations and promotional materials).

Accepted file types: png, Max. file size: 50 MB.