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Access to Care Community of Practice Intake Form

Contact and Program Information

The National Center for a System of Services for CYSHCN is offering an Access to Care Community of Practice from October 2026 – June 2027. This community of practice will be a new peer learning space designed to support Title V CYSHCN programs and their system partners in advancing access to care for CYSHCN.

We kindly ask you to fill out the intake form fields below so we can gather information in advance on your priority access needs related to CYSHCN. Please feel free to use short phrases or bullet points; complete sentences are not necessary.

The information provided will not be distributed publicly and will only be shared with the National Center staff and project partners from Family Voices and University of North Carolina at Chapel Hill’s National MCH Workforce Development Center to help inform planning of future sessions.
1.Please provide the following information:(Required.)
2.Which of the following sectors serving children and youth with special health care needs (CYSHCN) are you most affiliated with?
3.What access issues are you trying to solve?
4.What data or information do you have to help inform your understanding of access to care issues for CYSHCN?
5.Who are the partners you’d like to work with to figure this out?
6.What would you like to learn or accomplish through this Community of Practice with your peers?
7.What can you contribute to this community? (e.g., resources, expertise, promising practices, lived experience, etc.)
8.Is there information in your block grant application that could help us problem-solve or better understand opportunities to address your needs?
9.Do you have any additional comments, suggestions, or feedback for the Access to Care Community of Practice?