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1. RHC Profile

IMPORTANT: In order to prevent duplication, please provide only one response per organization

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* 1. Please enter your number of RHC(s) by type:

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* 2. Please list the states that your organization operates RHCs in:

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* 3. Across all RHCs in your organization, please indicate the total Full-Time Equivalents (FTEs) of the following RHC practitioners from CY 2024 across all RHCs you represent. This question is intended to gain insight into the size of your organization.

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* 4. Do your RHCs offer a sliding fee scale?

Note: In order to improve the validity of this survey we may want to verify certain data points. While providing the following is optional, if you are able to provide the following information, it will help improve the strength of this survey.

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* 5. (Optional) What is the name of your organization? 

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* 6. (Optional) Contact information:

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