I am signing: As an individualAs a health providerOn behalf of a company or organizationAs a youth (age 13-17) NOTE: By signing this pledge, I attest I am age 13 or older
Full Name*
Email address*
Zip Code*
Yes*By signing this pledge, I express my voluntary support for Ten Ten Ten’s goals. This pledge is not a contract and does not create any legal obligation to donate money, purchase services, or take any specific action.
YesPlease do not publish my name on any Ten Ten Ten materials
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You have taken a measurable step toward helping our country deliver better health outcomes at a sustainable cost. We are honored to have you with us on this important journey.
- The Ten Ten Ten Team
PS. To do more, here are some options:
Donate. Help us build and share the Ten Ten Ten Index, Certification, and tools.
Volunteer. Lend your time, skills, or lived experience.
Connect us with funders. We rely on philanthropic support.
Organization Name (Optional)
Professional Role/ Title*
Yes*I am a licensed health professional. By signing this pledge I attest that I am committed to the goals of Ten Ten Ten.
Every signature matters to this movement, and when health care providers add their names, it sends an especially powerful message.
You have taken a measurable step toward helping our country deliver better health outcomes at a sustainable cost.
Donate. Help us build and share tools.
Volunteer. Lend your time and skills.
Work Email Address*
Organization Name*
Organization type*SelectCorporation / Private CompanyNon-Profit / FoundationGovernment / Public AgencyHealth System / ProviderHealth Plan / InsurerTPA / PBM / ConsultantTechnology / Analytics VendorEmployer / PurchaserAcademic / Research InstitutionOther (please specify)
Please specify
Yes*I am authorized to sign this pledge on behalf of my organization.
You have taken a measurable step toward helping our country deliver better health outcomes at a sustainable cost. We are honored to have you with us.
Donate. Help us build tools.
Full Name, last initial*
Parent/Guardian Email*
Yes*I am age 13-17. By signing this pledge I attest that I am committed to the goals of Ten Ten Ten.
Your voice matters, and we’re excited to see young people like you taking action to help fix the U.S. health system.
We’re really glad to have you with us on this journey.
PS. If you’d like to do a bit more:
You could ask a few friends to sign the pledge too. If you use social media, we’d be grateful if you shared a link to our pledge page.
