Hospital Sign-up

THANK YOU for your interest in participating in this program. We know these are unprecedented times and it's incredibly hard on you and your entire staff. Please fill out the form below with information about your hospital and specific needs and we will get back to you as soon as possible.

 

If you have any questions, please email us at fortugno@uab.edu or btipper@uab.edu.

 

Thank you for your support and stay healthy and safe!