Apply for Look-Alike Initial Designation (LAL-ID)

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• Who can apply
• How to apply
• Resources for your application
• Technical assistance
• Contact us

Who can apply

You must:

• Be a public or nonprofit entity
• Serve areas or populations that lack access to primary care

Review the application instructions for the full list of criteria.

How to apply

Before you apply

Do the following:

• Review the Health Center Program Compliance Manual
• Comply with all Health Center Program requirements
• Register in the System for Award Management (SAM)
• Review the Application Instructions (PDF - 667 KB)

Apply any time

Fill out your application. You have 90 days to complete your application in the HRSA Electronic Handbooks (EHBs). 

Resources for your application

Attachments and forms

• Cover Page (PDF - 143 KB)
• Form 1A: General Information Worksheet (PDF - 211 KB)
• Form 1C: Documents on File (PDF - 34 KB)
• Form 2: Staffing Profile (PDF - 189 KB)
• Form 3: Income Analysis (PDF - 169 KB)
• Form 5A: Services Provided (PDF - 189 KB)
• Form 5B: Service Sites (PDF - 171 KB)
• Form 6A: Current Board Member Characteristics (PDF)
• Form 6B: Request for Waiver of Board Member Requirements (PDF)
• Form 8: Health Center Agreements (PDF)
• Form 12: Organization Contacts (PDF)

Note: The following forms are no longer part of the LAL-ID EHBs application, though they are still referenced in the current LAL-ID application instructions. Updated application instructions will be posted at a later date to reflect this change:

• Form 3A: Look-Alike Budget Information
• Form 4: Community Characteristics
• Form 5C: Other Activities/Locations

Find technical assistance

• Attachment 2: Instructions for Service Area Map and Table. Use Health Center Program GeoCare Navigator to create your map and table.
• Health Center Program Site Visit Protocol
• Strategic Partnerships
• What Is Shortage Designation?
• Contact Your State/Territorial Primary Care Office

Contact us

Sign up to receive the Primary Health Care Digest.

Add 'BPHCAnswers@hrsa.gov' to your address book to make sure you receive our reply email.

If you have a question about:	You can reach us at:
Program	BPHC Contact Form  Under Applications and Funding, select Look-Alike Initial Designation (LAL-ID)
EHBs	BPHC Contact Form  Under Technical and System Support, select EHBs Tasks and EHBs Technical Issues  Call 877-464-4772 (select option 5) 8 a.m. – 8 p.m. ET, Monday – Friday (except federal holidays)