Healthcare Connect Fund Eligibility Survey

The Virginia Rural Health Association is currently determining eligibility for the FCC/USAC Healthcare Connect Fund and is requesting the following information.  Contact vrha.intern@vcom.vt.edu if you have any questions. 
Please provide your contact information
Please provide contact information for someone physically located at each site. If you have multiple sites, please fill out a separate application with the unique contact information for someone that is physically located at each individual site. 
Describe the facility located at this address. *
 
Is this facility: *