Registration

1. Please provide your contact information below:

If you have previously registered, please to prepopulate your information.

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Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.

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To submit your posting to the Grateful Nation website, you must be 18 years or older.  I authorize Beth Israel Deaconess Medical Center (BIDMC) to use and display this statement on its web sites, www.gratefulnation.org and bidmc.org, as BIDMC chooses to use it.  The authorization is of indefinite duration.  I understand that anything I write here will appear as is, including a name (if I choose to give one) and any other identifiable information. I further understand that BIDMC has the right to remove any or all of my statement for any reason and without contacting me. I may revoke authorization to use this statement on www.gratefulnation.org and bidmc.org by written request to gratefulnation@bidmc.harvard.edu. The revocation will not apply to any uses or disclosures that have occurred pursuant to the authorization up to the time of revocation.  I acknowledge that any information submitted to the Grateful Nation website will not be entered into my medical record and will not be used towards the provision of health care.  I understand that any information, including but not limited to medical care I may have received at BIDMC, that I voluntarily disclose is not "protected health information" as regulated by HIPAA.  In addition, I certify that all files I upload, in all forms of media, are hereby authorized for display on these web sites. 

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