Successful Models for Rural and Underserved Communities

Please use this form to submit your project or program. Someone from the Office of Rural Health and Primary Care will contact you to review the submission.



Project Name:



Choose all categories that apply:  

Aging
Broadband
Community/Public Health
Dental
Education/Training
Health Information Technology
Emergency
Health Care Homes
Mental/Behavioral Health
Primary Care
Pharmacy
Quality Improvement
Recruitment and Retention
Telehealth
Trauma
Transportation
Other (please specify)   




Contact Name and Title:

Telephone:

Email:

Website:



Organization:

Address Line 1:

Address Line 2:

City State Zip Code

Region           County


Summarize your project or program in 1-3 paragraphs:

References to supporting documents and URLs.

For more information contact Darcy at 651-201-3855 (darcy.dungan-seaver@state.mn.us)