Healthcare Provider Survey
Healthcare Provider Data Collection for HPSA Designations
Our Primary Care Office oversees the surveying process of all HPSA eligible providers in Washington. This is to ensure the most recent provider data is in the system to confirm that current HPSA designations still meet federal eligibility requirements when the national updates occur.
Who do we survey?
How do you access the provider survey?
An online and fillable PDF option is available that can be emailed, faxed, or mailed using the links below.
To request a multi-provider survey spreadsheet for your facility, please contact us.
What information is collected during this survey?
The survey collects basic demographic information, along with information related to practice hours, patient population, as well as participation status in federal/state programs.