CHIS Research Clearinghouse - Submit your project
You'll need approximately 5 minutes to complete this process
Please complete the following few web pages. The information will be posted after review. If any further information is needed, we will contact you.
Note:
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Project Title
About the Principal Investigator
First Name
Last Name
Degrees
MA
MPH
MS
MBA
MD
PhD
DrPH
Others
RN
MHS
MPP
MPhil
MSc
MSPH
MSW
MSN
ScD
DEnv
DVM
JD
DDS
DO
DPA
EdD
DSW
PharmD
DnSc
MPA
Title
Organization Name
Organization Type
You must select a single primary organization type. For Health Care and Human Service Providers OR Voluntary Agencies and Associations, you may also select additional definitions.
Government Agency
Federal
State
Local
Legislative Office
Federal
State
Local
Educational or Research Institution
College or university
Other research organization
Primary or secondary school
Health Insurers / Managed Care Organizations
Health Care & Human Services Providers
(Please select all that apply below)
Health care (hospitals, clinics, physician practices, etc.)
Human serivces
Voluntary agencies and associations
(Please select all that apply below)
Health & health advocacy
Grantor
Faith-based
Other
News Media
Other (please specify)
Phone Number
Email Address
Address (line 1)
Address (line 2)
City
State
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Can we display your phone number?
Yes
No
Can we display your email address?
Yes
No
CHIS is conducted by the
UCLA Center for Health Policy Research
in collaboration with the
California Department of Public Health
, the
Department of Health Care Services
and the
Public Health Institute
. It is funded by both public and private organizations.
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