Become a Member

Thank you for your interest in becoming a member of 9/11 Health Watch.

To help us better serve you, tell us more about your experience on September 11th. Review the questions carefully and answer as much as you can or click thru to go to the next section. We are here to help you and ensure that you, the heroes and survivors of 9/11, receive the care you deserve from a nation grateful for your selfless sacrifice.

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Contact Information

If you are a first responder, survivor, or a volunteer? Select the appropriate tab above in Step 2.


First Responders

Police
Fire
Construction
State or City Employee
Federal Employee
Military

Please continue on to Step 3 if you are currently participating in the WTC Health Program. If you are not, skip to Step 4 and submit your membership.


Survivors

The Zadroga legislation provides medical treatment for the injuries of injured and ill 9/11 Responders and Survivors. Survivors are area residents, students ( K thru 12 and college students) and workers (office workers, retail service jobs, custodians) in the affected area.

Please continue on to Step 3 if you are currently participating in the WTC Health Program. If you are not, skip to Step 4 and submit your membership.


Volunteers

Please continue on to Step 3 if you are currently participating in the WTC Health Program. If you are not, skip to Step 4 and submit your membership.


World Trade Center Health Program

Please continue on to Step 4 and submit your membership.


Submit Membership

Thank you for taking the time to complete these questions. Submit your membership form by clicking the button below.

click here to continue