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ANNUAL CENSUS OF HEALTH CARE PROVIDERS 2014

Please provide the requested information about your current practice. A separate questionnaire must be completed by each provider for each county and/or facility of practice.

Please complete the survey within 10 days of receipt. Any member of your health professional staff may complete the survey.  Your timely response is greatly appreciated. Should you have questions or need additional information, please contact the Tennessee Department of Health, Office of Rural Health and Health Access at (615) 253-5799.
 
This Annual Census of Primary Care Providers is being conducted statewide and will be used to identify underserved communities and designate federal Health Professional Shortage Areas (HPSA) for primary care providers. Information collected from this census allows qualifying counties to participate in workforce development programs that support primary care physicians, nurse practitioners and physician assistants who practice in underserved areas.  These programs include the National Health Service Corps (NHSC),  Tennessee State Loan Repayment Program (TSLRP) and the J1-Visa Waiver program.  In addition, the survey results provide information that assists in important policy and planning decisions that improve the availability of primary care throughout the state

Tennessee Department of Health
Office of Rural Health and Health Access
2nd Floor – Andrew Johnson Tower
710 James Robertson Pkwy
Nashville, TN 37243
Phone (615) 253-5799 Fax (615) 253-2100