2022 Shared Community Health Needs Assessment comments form
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General Information
Northern Light Health welcomes your comments on the 2022 Shared Community Health Needs Assessment (CHNA). To provide us with written online feedback, please complete the form below.
1.
Your name (first and last)
*
2.
Street Address
3.
City
4.
State
5.
Zip
6.
Email Address
*
7.
For which type of report do you wish to provide a comment:
*
Statewide Shared Community Health Needs Assessment Report
County Shared Community Health Needs Assessment Report
County Health Profile
8.
Please select the county (or counties) below for which you would like to provide comment. Select the Statewide Report option to provide a comment on the statewide report. Select the county name to provide a comment on the county report or health profile.
*
If needed, select more than one option below:
Statewide Report
Androscoggin
Aroostook
Cumberland
Franklin
Hancock
Kennebec
Knox
Lincoln
Oxford
Penobscot
Piscataquis
Sagadahoc
Somerset
Waldo
Washington
York
9.
Your comments:
*