Thank you for providing information about your health center's medical-legal partnership. Please answer the following questions. This questionnaire will take approximately 7 minutes to complete. 
 
Please contact Jacqueline Baños at jacquelineb19@gwu.edu if you have any questions or require assistance.

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* 1. Please provide the following information about your health center:

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* 2. Provide the following information about yourself:

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* 3. You are receiving this questionnaire because your health center CEO or our records indicate that your health center has a medical-legal partnership.

Please select the statement below that best reflects your health center's current situation:

 
 25% of survey complete.

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