COVID-19 Services and Supports Provider Spotlight Form

Care Design NY wants to spotlight organizations to the care management team who are providing unique and innovative services/supports to individuals during the COVID-19 pandemic. If your organization is providing services such as telemedicine, food delivery or other virtual supports and you want to showcase these efforts, please fill out the below questionnaire:
Organization / Agency Name
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Contact Name
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First Last
Title
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Email
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Phone
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Briefly describe what types of service(s) your organization is providing to individuals to support people during the COVID-19 pandemic:
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Are the services you are offering open for new referrals?
N/A
What counties do you currently serve or offer these services in?
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Select all that apply. Hold the "Ctrl." key to select more than one county.
Do you want to be contacted to participate in an upcoming provider spotlight in which your organization will present to care managers in the above counties or region about the above services?
N/A

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