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Health Disparities Summit Registration
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Attendee Information
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Salesforce Event History Name
(Required)
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Salesforce Event Name
(Required)
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Name
(Required)
First
Last
Credentials
Badge Name (if different)
Email
(Required)
Phone
(Required)
Organization / Institution
(Required)
Job Title / Role
Dietary Restrictions (if any)
Emergency Contact
Relationship
Spouse/Partner
Friend
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Name
First
Last
What are you hoping to learn at this event?
(Required)
Select up to three topics that would be most valuable to you.
Chronic disease prevention, management, and patient education
Rural health equity and access to care
Health policy changes and effective advocacy strategies
Value-based care and equitable care-delivery models
Food as medicine and other social drivers of health
Patient advocacy, lived experience, and care navigation
Trust in healthcare, medical discrimination, and culturally responsive care
Mental health disparities, stigma, and access to support
Maternal, reproductive, and women’s health equity
Medication affordability, biosimilars, medical debt, and other financial barriers to care
Health equity research methods, data, and translating evidence into practice
Practical clinical strategies and continuing education for equitable care
Partnerships among patients, providers, payers, researchers, and community organizations
Other
Please explain:
2026 National Health Disparities Summit Registration Rates
Early Bird registration is currently open.
Regular rates are shown for comparison.
Category
Member Early Bird
Non-Member Early Bird
Member Regular
Non-Member Regular
Clinical Leadership (Doctoral)
$239
$259
$259
$299
Nursing, Practitioners & Allied Health Professionals
$209
$239
$239
$269
Health Equity & Public Health
$189
$209
$209
$239
Graduate Students & Emerging Professionals
$99
$99
$99
$99
Patient & Community Advocacy
$99
$99
$99
$99
Registration Type (Member)
(Required)
Clinical Leadership (Doctoral) Attendee – Member Early Bird
Nursing, Practitioners & Allied Health Attendee – Member Early Bird
Policy, Research & Academia Attendee – Member Early Bird
Graduate Student Attendee
Patient Advocate Attendee
Registration Type (Non-Member)
(Required)
Clinical Leadership (Doctoral) Attendee – Non-Member Early Bird
Nursing, Practitioners & Allied Health Attendee – Non-Member Early Bird
Policy, Research & Academia Attendee – Non-Member Early Bird
Graduate Student Attendee
Patient Advocate Attendee
Total
Credit Card
Acknowledgements
(Required)
I understand that my registration is not complete until any required payment has been submitted.
I understand that cancellations received on or before October 19, 2026 will be refunded minus a 35 dollar administrative fee. I understand that no refunds will be issued for cancellations made after October 19, 2026.
I acknowledge that my name and email may be shared with sponsors and exhibitors for engagement related to the summit.