Documenting Scope of Project in Updated Forms 5A and 5B

This Program Assistance Letter (PAL) describes updates made by the Health Resources and Services Administration (HRSA) to the forms used to document a health center’s federally approved scope of project: Form 5A: Services Provided and Form 5B: Service Sites. The updated forms and accompanying resource materials described in this PAL are designed to support existing policy, respond to requests for clarification, facilitate accurate documentation of each health center’s scope of project, and ensure ongoing consistency and understanding regarding scope of project for services and sites across the Health Center Program.

Date Last Reviewed:  November 2018

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Printer-friendly PAL 2014-06 (PDF - 178 KB)

Released 05/14/2014

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