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WBRC Service Status Update Form

Well Badger is committed to maintaining an up-to-date, accurate, responsive database of health services. If your program has experienced changes due to COVID-19 -  such as reduced hours or suspension of in-person services, please fill out this brief survey to let us know, so we can update our online directory. 
1. Please provide the following information (Required fields) *This question is required.
3. If your program is sharing updates or changes on a website or social media, please enter URLs below. What you enter here will appear in a special, temporary field on your program page in the Well Badger Directory. (Optional fields)
4. If we have any follow up questions, who can we contact? (required fields) *This question is required.