Behavioral Health Provider TTA Request & Feedback Form

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Thank you for your interest in the behavioral health provider training and technical assistance (TTA) program. The Department of Health Care Policy and Financing and TTA partners at Health Management Associates (HMA) are focused on providing comprehensive TTA to address the diverse needs and goals of behavioral health providers in Colorado.

Please use this form to request TTA support or share your ideas, questions and concerns about this effort. We value your expertise and experience.

The TTA team at HMA will review all submissions and follow up within 5 business days. We will use feedback collected to inform trainings, Frequently Asked Questions and stakeholder communications as appropriate.

How can we help you? This question is required. *

I would like to request training and technical assistance support.

I would like to share my ideas, questions or concerns. Sharing your contact information is optional.

What is your primary role? Select the best option. This question is required.
*

Administrative Staff

Licensed Provider

Unlicensed Provider

Prescriber

Executive/Management Staff

Other:

Which county do you represent? Select the best option. This question is required. *

What is your primary location type? Select the best option. This question is required.
*

Community Mental Health Center

Federally Qualified Health Center

Hospital-Mental

Psychiatric residential treatment facility

Qualified residential treatment program

Recovery support services organization

Residential Child Care Facility

Rural Health Clinic

Substance use disorder clinic

Other:

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