• Non-Federal documents and publications available through the Samples and Templates Resource Center were made available through contract number HHSH232200864001C from the Health Resources and Services Administration (HRSA), Bureau of Primary Health Care. Their contents are solely the responsibility of the authors and do not necessarily represent the official views of HRSA.
  • All non-Federal documents and publications available in the Samples and Templates Resource Center are provided only as aids to consultants and grantees. Any "sample" documents downloaded from the Resource Center must be tailored to the health center's unique circumstances and needs and should be reviewed by the health center's own counsel for legal sufficiency and applicability.
  • Samples and Templates Resource Center documents and publications have been reviewed for content and relevance but are not necessarily intended to communicate BPHC policy or expectations. To access current BPHC policies and expectations, please visit: https://bphc.hrsa.gov/programrequirements/policies/index.html to review BPHC Policy Information Notices (PINs) and Program Assistance Letters (PALs).
  • Please visit the Samples and Templates Resource Center often to ensure documents previously downloaded are still current or relevant.
Date Last Reviewed:  November 2018