Governor's Roundtable on Health Care

Public/Stakeholder Comment


Your comments and suggestions will be appreciated as the Governor's Roundtable on Health Care examines issues surrounding access to health care and possible solutions for Arkansans.

Please provide the following contact information:

Name
Title
Organization
Work Phone
FAX
E-mail

Please describe yourself:

Age
Sex Male Female

From which perspective are you commenting?

Provider
Business/Employer
Consumer
Government/Policymaker/academic

Are you employed?

Yes
No

Are you insured?

Yes
No

If you are insured, is your coverage

Group
Individual
Government

Please describe your thoughts regarding a current health care system need or ideas for improvement.




Copyright © 2008 Arkansas Center for Health Improvement. All rights reserved.
Revised: 03/12/08