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Co-Form for Support Network Activities
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This form is solely for Support Network Coordinators leading groups with Co-Coordinators. This form should be completed:

  • To report to National Office if you and your Co-Coordinator did not host a Support Network meeting this month.
  • To report on your Support Network Activity as a Co-Coordinator. (Please note: One Support Network Coordinator is responsible for completing a full report on the Support Network meeting call a Support Network Coordinator form. All other Co-Coordinators should submit this form to receive credit for hours dedicated, and to let us know they are still actively volunteering as a Co-Coordinator for their Support Network.)
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WomenHeart: The National Coalition for Women with Heart Disease is a nonprofit, 501(c)(3) patient advocacy organization with thousands of members nationwide, including women heart patients and their families, health care providers, advocates and consumers committed to helping women live longer, healthier lives. WomenHeart supports, educates and advocates on behalf of the 47 million American women living with or at risk of heart disease. Our programs are made possible by donations, grants and corporate partnerships.

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WomenHeart: The National Coalition for Women with Heart Disease is a founding partner of The Heart Truth Red Dress campaign. The Heart Truth and Red Dress are trademarks of HHS.