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MIHP Declined Enrollment Followup



Maternal Infant Health Program (MIHP) Declined Enrollment Follow UP

As an individual who was referred to your local MIHP, your feedback is important to us.  Please help us better understand your reasons for not enrolling in MIHP services.  Responses are secure and confidential.  If you have any questions, please do not hesitate to call (517) 768-2114.  Thank you in advance for your time, consideration, and feedback. 
1. How did you find out about MIHP? *This question is required.
2. Please select one option below which best describes why you chose to not enroll in your local MIHP program?  *This question is required.