CMHPC DOCUMENTS AND FORMS
Emergency Response Forms/Templates
EMERGENCY RESPONSE FORMS
FY2019 REIMBURSEMENT FORMS
REQUESTS FOR PPE: Please utilize the following link to request resources: https://redcap.health.state.mn.us/redcap/surveys/?s=LXR9JMRYEJ
If your need is URGENT meaning you are completely out – please complete the form and reach out to your coalition leaders.
REQUEST FOR CONGREGATE CARE SITE TESTING: https://redcap.health.state.mn.us/redcap/surveys/?s=FXNEEE7PXX
Use this link to request assistance with testing staff and residents for COVID-19. This site is also to be used to report any testing that has occured since 5/17/2020.
The coalition website has created a page dedicate to the COVID 19 response – it includes information about how to request PPE support.
IF YOU HAVE EMERGENT NEEDS FOR THE WEST CENTRAL AND CENTRAL COALITION PLEASE CALL THE 24/7 NUMBER: (320) 654-2720
If you have any immediate needs – please contact your Regional Readiness and Response Coordinator.
Central: West Central:
Don Sheldrew Shawn Stoen