Please let us know how you heard about PCIP. We appreciate your feedback!

* 2. How did you hear about the PCIP Program? Please select all responses that apply.
(Please note that questions 2a, 2b and 2c may not be applicable to your selections)

* 2 a. If you chose TV/Radio, please tell us what station(s):

* 2 b. If you chose Newspaper/Print Ad, please tell us where you saw the ad:

* 2 c. If you chose Disease Management Organization, please tell us the name of the organization: