The Medical Director Institute (MDI) is a group of physicians who are dedicated to advancing clinical and operational behavioral health practices within healthcare treatment organizations so that all individuals have access to effective and clinically competent behavioral healthcare across the lifespan. The MDI accomplishes this by bridging the gap between providers, payers, industry leaders and federal agencies to develop expert resources and initiatives that promote clinical and policy innovation. MDI activities are responsive to National Council community behavioral health member organization needs.

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* 1. Name and Credentials

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* 2. Title

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* 3. Organization

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* 4. Email Address

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* 5. Phone Number

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* 6. Are you a National Council member?

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* 7. Please email a CV and biographical sketch that outlines education and employment background, areas of specialty expertise if applicable, and professional development goals for future work to MDI@thenationalcouncil.org.

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* 8. Approximately what percentage of your time is spent as a medical director/in a leadership role within your organization?

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* 9. Approximately what percentage of your time is spent providing direct patient care?

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* 10. What type of geographic location do you serve?

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* 11. Do you have Subject Matter Expertise/experience in any of the following: (select all that apply)

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* 12. Please provide a brief statement on why you would like to join the Medical Director Institute and how you will contribute to the National Council’s mission to advance the mental health and substance use field.

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