HRSA MCHB PMHCA Impact Study - Family/Caregiver Focus Group Discussion Recruitment

Thank you for assisting with the Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB) Pediatric Mental Health Care Access (PMHCA) Program National Impact Study (Impact Study) Family/Caregiver Focus Group Discussion (FGD) recruitment.

We request that you identify between 2 and 5 family members/caregivers to participate. Once identified, please first obtain verbal consent from the individual to share their contact information with the Impact Study team. Then, complete this form by entering the individual's first name and preferred contact method.

If you have any questions please email: PMHCAImpactStudyAdmin@jbsinternational.com

Please enter your first and last name: *This question is required.

Please enter your email address: *This question is required. This question requires a valid email address.

Select the state/tribe/territory/jurisdiction of your affiliated PMHCA program: *This question is required.

HRSA MCHB PMHCA Impact Study - Family/Caregiver Focus Group Discussion Recruitment

Introduction