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TelehealthLocator – Submission Form

TelehealthLocator is a collaborative project between the Mid-Atlantic, Northeast, South Central, Pacific Basin and Upper Midwest Telehealth Resource Centers, which aims to provide a single point of access to view and overlay broadband, telehealth provider information, and gaps in access to care.

Ensure the healthcare services you provide are correctly represented in this tool by completing the form below. If your services are not offered virtually, please complete the form identifying in-person services. The information you provide regarding this facility (excluding contact name and email) will be available to the public and to stakeholders.

The intake form used for the TelehealthLocator was developed through a collaborative effort by the Northwest Regional Telehealth Resource Center (NRTRC), WIM Tracking LLC, and AppGeo for the Telehealth Finder mapping application for the Northwest Region.

Sara Long, sara@wimtracking.com or (406) 578 – 4085

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