This agreement is intended to be completed by organizations in the process of formalizing a partnership with OpenHIE.
Please provide the name of the organization as it should be displayed in all official communications:
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).
Would your team be interested in providing content (blog post, email content for our community mailing list, community forum posts, etc.) to the OpenHIE secretariat team for collaboration and shared promotion?
If yes, the OpenHIE secretariat team will work with the contact listed in this form to share the communication supported and managed, and any helpful insight to the OpenHIE community. We may then work directly with the communication contact as appropriate..
If providing content is not desired, the OpenHIE team will fulfill the promotional needs as specified in the partnership agreement.
In alignment with our shared mission of improving health outcomes for resource emerging communities and OpenHIE efforts, please provide your organization's capabilities statement for this partnership.
The following are helpful prompts in preparing this statement:
"*" indicates required fields