Nomination Form: 2020 Outstanding CHR Tribal Program  
The Community Health Representative (CHR) Summit VI "Building Healthier Communities through Integration, Best Practices, Advocacy and Culture" planning committee would like to recognize and honor the service of a Tribal CHR Team/Program to be nominated by their peers. The winner will be recognized at CHR Summit VI Awards Lunch on May 6, 2020.  

CHRs are significant contributors to healthcare teams focused on providing comprehensive care. CHRs have been shown to improve patient outcomes, reduce costs for healthcare and assist community members in avoiding unnecessary hospitalization and other forms of more expensive care.  Currently, CHRs are estimated to represent 30% of the total community health worker workforce in Arizona.

2019 Awardee(s):
Colorado River Indian Tribe
White Mountain Apache Tribe

You can nominate your Tribe or another Tribe you think deserves to be recognized. Please fill out the information below.

Thank you,
CHR Summit VI Planning Committee

Sign in to Google to save your progress. Learn more
Your Name *
Your Phone Number *
Your Email *
Name of Tribal CHR Program you would like to nominate *
Please provide a description why you would like to nominate this Tribal CHR Program and why you believe they should be recognized. In your response please include explanation of the work this Tribe has done, duties of health promotion, information on the CHR program, description of the populations and community served, for example. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy