Interested in becoming part of our Team…

Please take a moment and complete the form below to join the Healthy Start Coalition of Miami-Dade as a General Member!

Please note: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

If you have trouble submitting this form online, you may download a form here and submit via:
FAX: (305) 541-0213 
E-mail: training@hscmd.org.

1 Step 1
Basic Information


Home / Personal Information


Type of Organization You Work for

Which mailing address do you prefer for communications?
Which email address do you prefer for communications?

MEMBER CATEGORIES (please check all that apply)
Fetal and Infant Mortality Review (FIMR) Project of Miami-Dade County: (Two Categories)

Through this membership, will you be representing yourself as an individual or are you joining as a representative of your employer/organization?

reCaptcha v3

keyboard_arrow_leftPrevious
Nextkeyboard_arrow_right

Get in Touch. Get Involved.

You can make an impactful difference in Miami’s underserved children’s lives when you donate! Healthy Start Coalition of Miami-Dade’s revenue is derived in part from donations like yours!

7205 NW 19th Street,
Suite 500,
Miami, FL 33126

Call Us: (305) 541-0210

1 Step 1
reCaptcha v3
keyboard_arrow_leftPrevious
Nextkeyboard_arrow_right
Shares

7205 NW 19th Street, Suite 500,
Miami, FL 33126
(305) 541-0210
Monday to Friday — 8:30am to 5pm