Communication Kit

Thank you for your interest in promoting the Healthy Indiana Plan. Our collective efforts to raise awareness are crucial to helping educate eligible Hoosiers about the program.

For immediate access to download the promotional kit, please complete the attached form. This information will enable us to notify you when new or additional materials become available over the next few weeks.

ORGANIZATION NAME

CONTACT NAME

TELEPHONE NUMBER

EMAIL ADDRESS

WOULD YOU LIKE TO ORDER FREE PRINTED BROCHURES?
ENGLISH LANGUAGE BROCHURES ARE AVAILABLE IN QUANTITIES OF 100.
SPANISH LANGUAGE BROCHURES ARE AVAILABLE IN QUANTITIES OF 25.
Yes
No

IF YES,
QUANTITY OF ENGLISH BROCHURES
QUANTITY OF SPANISH BROCHURES

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