Please attach a signed copy of the What’s That contract, email it to or mail to Rasin Foundation 202 Edge Hill Road, Milton MA 02186.
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Thank you for your interest in the Rasin Foundation and our What's That clinical consult service. This program links health care providers from around the world with our clinic staff in Leogane Haiti. The goal is fo provide real time consultation to improve the clinical care provided at our Health Center in Leogane.

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Please indicate which consult networks you would like to participate in:

By checking this box, you indicate that you have read the Clinician Consent to Participate form and agree to the terms outlined in it.

Please email or attach your signed consent form:

Please attach your license:

Thank You