Legislator Meeting Report

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Legislator Meeting Report

This document is to report meetings between health center team members and state legislators so FACHC can track requests for additional information and schedule follow-up meetings with state legislators if needed. Complete the entire form, and FACHC will reach out with any questions.

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* Indicates required question

Name of Health Center *

Your answer

Your First and Last Name *

Your answer

Meeting Date and Time *

Your answer

Name of State Legislator *

Your answer

Who attended the meeting? *

Your answer

What did you discuss? *

Your answer

Is follow up required? *

Yes

No

If yes, please explain:

Your answer

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