RFA #34347-05726 Perinatal and Pediatric Behavioral Health Teleconsultation

Applicant Information

1. Applicant Information: *This question is required.

Organization Name:
Organization's Mailing Address:
Primary Contract Name & Title:
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4. It is imperative that each applicant review the entire Sample Grant Contract with their legal counsel prior to applying and notify the State in advance if it cannot accept any terms or conditions. Do you take any exceptions to the Sample Grant Contract language?

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