SCHA-MI New Health Center RFP Interest Survey.

A new RFP from MDHHS is expected in the very near future. We are trying to gauge the interest in the various programs. This is a general inquiry, no commitment is being made.

Question Title

* 1. Name

Question Title

* 2. Title

Question Title

* 3. Organization

School District

ISD

Hospital

FQHC

County Health Department

Other

Question Title

* 4. E-mail Address

Question Title

* 5. Phone number

Question Title

* 6. How many school-based health centers are you interested in? (Please refer to the models of care attached to the e-mail for a description). This is a primary care provider, full-time and a full-time mental health provider.

If more than 4, please indicate what school district or school.

Question Title

* 7. Do you have a partnering school-district, or sponsoring agency (who provides the healthcare) in mind?

Yes

If no, please check the box if you would like assistance finding a partner

If yes, who is your potential partner(s)?

Question Title

* 8. How many mental health sites are you interested in? (Please refer to the models of care attached to the e-mail for a description). This is a full-time mental health provider only.

If more than 4, please indicate what school district or school.

Question Title

* 9. Do you have a partnering school-district, or sponsoring agency (who provides the mental healthcare) in mind?

Yes

If no, please check the box if you would like assistance finding a partner

If yes, who is your potential partner(s)?

Question Title

* 10. How many school-wellness program sites are you interested in? (Please refer to the models of care attached to the e-mail for a description). This is a full-time nurse and a full-time mental health provider.

If more than 4, please indicate what school district or school.

Question Title

* 11. Do you have a partnering school-district, or sponsoring agency (who provides the healthcare providers) in mind?

Yes

If no, please check the box if you would like assistance finding a partner

If yes, who is your potential partner(s)?

SCHA-MI New Health Center RFP Interest Survey. A new RFP from MDHHS is expected in the very near future. We are trying to gauge the interest in the various programs. This is a general inquiry, no commitment is being made.

Question Title

* 1. Name

Question Title

* 2. Title

Question Title

* 3. Organization

Question Title

* 4. E-mail Address

Question Title

* 5. Phone number

Question Title

* 6. How many school-based health centers are you interested in? (Please refer to the models of care attached to the e-mail for a description). This is a primary care provider, full-time and a full-time mental health provider.

Question Title

* 7. Do you have a partnering school-district, or sponsoring agency (who provides the healthcare) in mind?

Question Title

* 8. How many mental health sites are you interested in? (Please refer to the models of care attached to the e-mail for a description). This is a full-time mental health provider only.

Question Title

* 9. Do you have a partnering school-district, or sponsoring agency (who provides the mental healthcare) in mind?

Question Title

* 10. How many school-wellness program sites are you interested in? (Please refer to the models of care attached to the e-mail for a description). This is a full-time nurse and a full-time mental health provider.

Question Title

* 11. Do you have a partnering school-district, or sponsoring agency (who provides the healthcare providers) in mind?

Question Title

* 12. Comment Box for additional space or questions. Thank you!

SCHA-MI New Health Center RFP Interest Survey.

A new RFP from MDHHS is expected in the very near future. We are trying to gauge the interest in the various programs. This is a general inquiry, no commitment is being made.