Last Name, First Name
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(Last, First)
Credentials (e.g. RN, MPH, MD, PhD, etc.)
VA E-mail address
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Turn off alert to virec@va.gov about new ticket submission.
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Used when ticket entered directly by VIReC staff.
How would you categorize your request?
Question or inquiry for VIReC Subscribe to VIReC products Unsubscribe to VIReC products Suggest VIReC products or services
Do you have a VA affiliation currently?
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Have you completed a VIReC HelpDesk request using this form at any time in the past?
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Has your name, contact information, credentials, role or service location changed since the last time you used this form?
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Which best describes your role in the VA?
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Select all that apply
List other role
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1 2 4 5 6 7 8 9 10 12 15 16 17 19 20 21 22 23 Other
List other VISN
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City, State
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Auburn, NH Augusta, ME Bangor, ME Bedford, MA Bennington, VT Bingham, ME Boston, MA Brattleboro, VT Brockton, MA Burlington, VT Calais, ME Caribou, ME Conway, NH Danbury, CT Fairhaven, MA Fitchburg, MA Fort Kent, ME Framingham, MA Gloucester, MA Gorham, NH Greenfield, MA Haverhill, MA Hooksett, NH Houlton, ME Hyannis, MA Jamaica Plain, MA Keene, NH Leeds, MA Lewiston, ME Lincoln, ME Littleton, NH Lowell, MA Lynn, MA Manchester, NH Middletown, RI Newington, CT New Bedford, MA New London, CT Newport, VT Norwich, CT Orange, CT Pittsfield, MA Plymouth, MA Portland, ME Portsmouth, NH Providence, RI Quincy, MA Rocky Hill, CT Rumford, ME Rutland, VT Saco, ME Somersworth, NH Springfield, MA Springvale, ME South Burlington, VT Stamford, CT Tilton, NH Warwick, RI Waterbury, CT West Haven, CT West Roxbury, MA West Springfield, MA White River Junction, VT Willimantic, CT Winsted, CT Worcester, MA Other
City, State
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Albany, NY Amherst, NY Auburn, NY Babylon, NY Bainbridge, NY Batavia, NY Bath, NY Bay Shore, NY Binghamton, NY Bloomfield, NJ Brick, NJ Bronx, NY Brooklyn, NY Buffalo, NY Canandaigua, NY Carmel, NY Catskill, NY Clifton Park, NY Coudersport, PA Dunkirk, NY East Meadow, NY East Orange, NJ Elmira, NY Ewing, NJ Fonda, NY Freeville, NY Glens Falls, NY Goshen, NY Hackensack, NJ Hamilton, NJ Hicksville, NY Jamaica, NY Jamestown, NY Jersey, NJ Kingston, NY Lakewood, NJ Lockport, NY Lyons, NJ Massena, NY Middletown, NY Monticello, NY Montrose, NY Morristown, NJ New City, NY Newton, NJ New York, NY Niagara Falls, NY Northport, NY Olean, NY Oswego, NY Patchogue, NY Paterson, NJ Pine Plains, NY Piscataway, NJ Plattsburgh, NY Port Jervis, NY Poughkeepsie, NY Riverhead, NY Rochester, NY Rome, NY Saranac Lake, NY Schenectady, NY Secaucus, NJ Springville, NY Staten Island, NY Sunnyside, NY Syracuse, NY Tinton Falls, NJ Troy, NY Valley Stream, NY Wappingers Falls, NY Watertown, NY Wellsboro, PA Wellsville, NY West Seneca, NY Westport, NY White Plains, NY Woodhaven, NY Yonkers, NY Other
City, State
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Allentown, PA Altoona, PA Ashtabula, OH Bangor, PA Berwick, PA Bradford, PA Bristol, PA Butler, PA Camden, NJ Coatesville, PA Cranberry Township, PA Dover, DE DuBois, PA Egg Harbor Township, NJ Erie, PA Franklin, PA Georgetown, DE Greensburg, PA Harrisburg, PA Hermitage, PA Honesdale, PA Horsham, PA Indiana, PA Johnstown, PA Kittanning, PA Lancaster, PA Lebanon, PA Mapleton Depot, PA Marlton, NJ Meadville, PA Mechanicsburg, PA Monroe Township, PA New Castle, PA Newtown Square, PA Norristown, PA Northfield, NJ Philadelphia, PA Pittsburgh, PA Pottsville, PA Rio Grande, NJ Rochester, PA Sayre, PA Scranton, PA Sewell, NJ Spring City, PA State College, PA St. Clairsville, OH Tobyhanna, PA Uniontown, PA Vineland, NJ Warren, PA Washington, PA White Oak, PA Wilkes-Barre, PA Williamsport, PA Willow Street, PA Wilmington, DE Wyomissing, PA York, PA Other
City, State
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Aberdeen, MD Alexandria, VA Annapolis, MD Baltimore, MD Beckley, WV Cambridge, MD Camp Springs, MD Charleston, WV Charlotte Hall, MD Clarksburg, WV Clinton, MD Cumberland, MD Dundalk, MD Elkton, MD Fort Belvoir, VA Frederick, MD Fort Meade, MD Franklin, WV Gaithersburg, MD Gallipolis, OH Gassaway, WV Glen Burnie, MD Hagerstown, MD Harrisonburg, VA Henlawson, WV Huntington, WV Lenore, WV Linthicum, MD Martinsburg, WV Morgantown, WV Parkersburg, WV Parsons, WV Perry Point, MD Petersburg, WV Pocomoke, MD Prestonsburg, KY Princeton, WV Ronceverte, WV Rosedale, MD Salisbury, MD Silver Spring, MD South Charleston, WV Towson, MD Washington, DC Westover, WV Wheeling, WV Winchester, VA Other
City, State
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Asheville, NC Charlotte, NC Charlottesville, VA Chesapeake, VA Danville, VA Durham, NC Elizabeth City, NC Fayetteville, NC Franklin, NC Fredericksburg, VA Goldsboro, NC Greensboro, NC Greenville, NC Hamlet, NC Hampton, VA Hickory, NC Jacksonville, NC Kernersville, NC Lynchburg, VA Morehead City, NC Pembroke, NC Raleigh, NC Richmond, VA Roanoke, VA Rutherfordton, NC Salem, VA Salisbury, NC Sanford, NC Spindale, NC Staunton, VA Supply, NC Tazewell, VA Virginia Beach, VA Wilmington, NC Wytheville, VA Other
City, State
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Aiken, SC Albany, GA Anderson, SC Athens, GA Atlanta, GA Augusta, GA Austell, GA Beaufort, SC Bessemer, AL Birmingham, AL Blairsville, GA Brunswick, GA Carrollton, GA Charleston, SC Childersburg, AL College Park, GA Columbia, SC Columbus, GA Decatur, GA Dothan, AL Dublin, GA Duluth, GA East Point, GA Florence, SC Flowery Branch, GA Fort Rucker, AL Ft. Benning, GA Gadsden, AL Goose Creek, SC Greenville, SC Guntersville, AL Hinesville, GA Hoover, AL Huntsville, AL Jasper, AL Kathleen, GA Lawrenceville, GA Macon, GA Marietta, GA Milledgeville, GA Monroeville, AL Montgomery, AL Myrtle Beach, SC Newnan, GA North Charleston, SC Orangeburg, SC Oxford, AL Rock Hill, SC Rome, GA Savannah, GA Selma, AL Sheffield, AL Spartanburg, SC Statesboro, GA Stockbridge, GA Sumter, SC Tifton, GA Tuscaloosa, AL Tuskegee, AL Other
City, State
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Arecibo, PR Bay Pines, FL Boca Raton, FL Bradenton, FL Brooksville, FL Cape Coral, FL Clearwater, FL Clermont, FL Comerio, PR Daytona Beach, FL Deerfield Beach, FL Delray Beach, FL Deltona, FL Ft. Myers, FL Ft. Pierce, FL Gainesville, FL Greenacres, FL Guayama, PR Guaynabo, PR Hollywood, FL Homestead, FL Jacksonville, FL Jupiter, FL Key Largo, FL Key West, FL Kings Hill, VI Kissimmee, FL Lake City, FL Lakeland, FL Lauderdale Lakes, FL Marianna, FL Mayaguez, PR Melbourne, FL Miami, FL Middleburg, FL Naples, FL New Port Richey, FL Ocala, FL Okeechobee, FL Orlando, FL Palatka, FL Palm Harbor, FL Perry, FL Pompano, FL Ponce, PR Port Charlotte, FL Port St Lucie, FL Pueblo Ward, PR San Juan, PR Sarasota, FL Sebring, FL St. Augustine, FL St Marys, GA St. Petersburg, FL St. Thomas, VI Stuart, FL Sunrise, FL Tallahassee, FL Tampa, FL Tavares, FL The Villages, FL Utuado, PR Valdosta, GA Vero Beach, FL Vieques, PR Viera, FL Waycross, GA West Palm Beach, FL Zephyrhills, FL Other
City, State
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Arnold Air Force Base, TN Athens, TN Berea, KY Bowling Green, KY Bristol, VA Carrollton, KY Chattanooga, TN Clarkson, KY Clarksville, TN Columbia, TN Cookeville, TN Dover, TN Dyersburg, TN Ft Knox, KY Gallatin, TN Harriman, TN Hazard, KY Helena, AR Holly Springs, MS Hopkinsville, KY Jackson, TN Johnson City, TN Jonesboro, AR Jonesville, VA Knoxville, TN LaFollette, TN Lexington, KY Louisville, KY Marion, VA McMinnville, TN Memphis, TN Morehead, KY Morristown, TN Mountain Home, TN Murfreesboro, TN Nashville, TN New Albany, IN North Savannah, TN Norton, VA Rogersville, TN Scottsburg, IN Sevierville, TN Somerset, KY Tupelo, MS Vansant, VA Other
City, State
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Akron, OH Alpena, MI Ann Arbor, MI Bad Axe, MI Battle Creek, MI Bellevue, KY Benton Harbor, MI Bloomington, IN Cadillac, MI Calcutta, OH Cambridge, OH Canton, OH Chillicothe, OH Cincinnati, OH Clare, MI Cleveland, OH Clinton Township, MI Columbus, OH Crane, IN Dayton, OH Dearborn, MI Detroit, MI Edinburgh, IN Flint, MI Florence, KY Fort Wayne, IN Ft. Thomas, KY Gaylord, MI Georgetown, OH Goshen, IN Grand Rapids, MI Grayling, MI Greendale, IN Grove City, OH Hamilton, OH Indianapolis, IN Kettering, OH Lafayette, IN Lancaster, OH Lansing, MI Lawrence, IN Lima, OH Mackinaw City, MI Mansfield, OH Maple Heights, OH Marietta, OH Marion, IN Martinsville, IN Michigan Center, MI Middletown, OH Mishawaka, IN Muncie, IN Muskegon, MI New Philadelphia, OH Newark, OH Norwood, OH Oscoda, MI Parma, OH Parma Heights, OH Peoria, IL Peru, IN Pontiac, MI Portsmouth, OH Ravenna, OH Richmond, IN Saginaw, MI Sandusky, OH Sheffield Village, OH Shelbyville, IN Springfield, IL Springfield, OH Terre Haute, IN The Plains, OH Toledo, OH Traverse City, MI Warren, OH Willoughby, OH Wilmington, OH Wyoming, MI Yale, MI Youngstown, OH Zanesville, OH Other
City, State
* must provide value
Appleton, WI Aurora, IL Baraboo, WI Beaver Dam, WI Bloomington, IL Bourbonnais, IL Chicago, IL Chicago Heights, IL Cleveland, WI Crown Point, IN Danville, IL Decatur, IL Escanaba, MI Evanston, IL Forest Park, IL Freeport, IL Great Lakes, IL Green Bay, WI Hancock, MI Hines, IL Hoffman Estates, IL Iron Mountain, MI Ironwood, MI Janesville, WI Joliet, IL Kenosha, WI La Crosse, WI Madison, WI Manistique, MI Marquette, MI Mattoon, IL McHenry, IL Menominee, MI Milwaukee, WI North Aurora, IL North Chicago, IL Oak Lawn, IL Orland Park, IL Owen, WI Peoria, IL Peru, IL Rhinelander, WI Rockford, IL Sault Ste. Marie, MI South Bend, IN Springfield, IL Tomah, WI Union Grove, WI Wausau, WI Westchester, IL Wisconsin Rapids, WI Other
City, State
* must provide value
Belton, MO Cameron, MO Cape Girardeau, MO Carbondale, IL Chanute, KS Columbia, MO Creve Coeur, MO Dodge City, KS Effingham, IL Evansville, IN Excelsior Springs, MO Farmington, MO Florissant, MO Ft. Scott, KS Garnett, KS Harrisburg, IL Hays, KS Hutchinson, KS Jefferson City, MO Junction City, KS Kansas City, MO Kirksville, MO Lawrence, KS Leavenworth, KS Liberal, KS Manhattan, KS Marion, IL Marshfield, MO Mayfield, KY Mexico, MO Mt. Vernon, IL Nevada, MO O'Fallon, MO Osage Beach, MO Overland Park, KS Owensboro, KY Paducah, KY Paola, KS Paragould, AR Parsons, KS Platte City, MO Pocahontas, AR Poplar Bluff, MO Saint Louis, MO Salina, KS Sedalia, MO Shawnee, KS Sikeston, MO Shiloh, IL St. James, MO St. Joseph, MO Swansea, IL Topeka, KS Vincennes, IN Warrensburg, MO Washington, MO Waynesville, MO West Plains, MO Wichita, KS Other
City, State
* must provide value
Alexandria, LA Baton Rouge, LA Beaumont, TX Biloxi, MS Bogalusa, LA Branson, MO Columbus, MS Conroe, TX Conway, AR Eglin AFB, FL El Dorado, AR Fayetteville, AR Franklin, LA Ft Smith, AR Galveston, TX Greenville, MS Hammond, LA Harrison, AR Hattiesburg, MS Hot Springs, AR Houma, LA Houston, TX Jackson, MS Jay, OK Jennings, LA Katy, TX Kosciusko, MS Lafayette, LA Lake Charles, LA Lake Jackson, TX Leesville, LA Little Rock, AR Longview, TX Lufkin, TX McComb, MS Mena, AR Meridian, MS Mobile, AL Monroe, LA Mountain Home, AR Natchez, MS Natchitoches, LA New Orleans, LA North Little Rock, AR Ozark, AR Panama City, FL Panama City Beach, FL Pensacola, FL Pine Bluff, AR Pineville, LA Reserve, LA Richmond, TX Ridgeland, MS Russellville, AR Searcy, AR Shalimar, FL Shreveport, LA Slidell, LA Springfield, MO Texarkana, AR Texas City, TX Tomball, TX Other
City, State
* must provide value
Abilene, TX Amarillo, TX Arlington, TX Austin, TX Beeville, TX Big Spring, TX Bonham, TX Brownwood, TX Cedar Park, TX Childress, TX Clovis, NM College Station, TX Corpus Christi, TX Dalhart, TX Dallas, TX Decatur, TX Denton, TX El Paso, TX Fort Stockton, TX Fort Worth, TX Granbury, TX Grand Prairie, TX Greenville, TX Harker Heights, TX Harlingen, TX Hobbs, NM Kerrville, TX La Grange, TX Laredo, TX Las Cruces, NM Lubbock, TX McAllen, TX Mesquite, TX Midland, TX New Braunfels, TX Odessa, TX Palestine, TX Pantego, TX Plano, TX San Angelo, TX San Antonio, TX Seguin, TX Sherman, TX Temple, TX Tyler, TX Victoria, TX Waco, TX Westworth Village, TX Other
City, State
* must provide value
Ada, OK Afton, WY Alamosa, CO Altus, OK Anaconda, MT Ardmore, OK Aurora, CO Billings, MT Blackwell, OK Boulder, CO Bozeman, MT Burlington, CO Casper, WY Cheyenne, WY Clinton, OK Cody, WY Colorado Springs, CO Craig, CO Cut Bank, MT Denver, CO Durango, CO Elko, NV Enid, OK Evanston, WY Fort Collins, CO Fort Harrison, MT Fort Sill, OK Glasgow, MT Gillette, WY Glendale, CO Glendive, MT Glenwood Springs, CO Golden, CO Grand Junction, CO Great Falls, MT Hamilton, MT Havre, MT Helena, MT Idabel, OK Idaho Falls, ID Kalispell, MT La Junta, CO Lamar, CO Laramie, WY Lawton, OK Lewistown, MT Loveland, CO McAlester, OK Miles City, MT Missoula, MT Moab, UT Montrose, CO Murray, UT Muskogee, OK Norman, OK North Ogden, UT Oklahoma City, OK Orem, UT Plentywood, MT Pocatello, ID Price, UT Pueblo, CO Rawlins, WY Riverton, WY Rock Springs, WY Roosevelt, UT Salida, CO Salt Lake City, UT Sheridan, WY Sidney, NE South Jordan, UT South Ogden, UT St. George, UT Sterling, CO Stillwater, OK Tinker AFB, OK Torrington, WY Tulsa, OK Vinita, OK Wheatland, WY Wichita Falls, TX Worland, WY Other
City, State
* must provide value
Anchorage, AK Bellevue, WA Bend, OR Boardman, OR Bellingham, WA Boise, ID Bremerton, WA Brookings, OR Caldwell, ID Chehalis, WA Coeur d' Alene, ID Enterprise, OR Eugene, OR Everett, WA Fairbanks, AK Fairview, OR Federal Way, WA Fort Wainwright, AK Grangeville, ID Grants Pass, OR Hillsboro, OR Hines, OR Juneau, AK Klamath Falls, OR Lacey, WA La Grande, OR Lakewood, WA Lewiston, ID Libby, MT Lincoln City, OR Mountain Home, ID Mount Vernon, WA Newport, OR North Bend, OR Port Angeles, WA Portland, OR Richland, WA Roseburg, OR Salem, OR Seattle, WA Spokane, WA Salmon, ID Sandpoint, ID Soldotna, AK Tacoma, WA The Dalles, OR Twin Falls, ID Vancouver, WA Walla Walla, WA Warrenton, OR Wasilla, AK Wenatchee, WA West Linn, OR White City, OR Yakima, WA Other
City, State
* must provide value
Agana Heights, GU Auburn, CA Capitola, CA Chico, CA Citrus Heights, CA Clearlake, CA Concord, CA Eureka, CA Ewa Beach, HI Fairfield, CA Fallon, NV Fremont, CA French Camp, CA Fresno, CA Gardnerville, NV Henderson, NV Hilo, HI Honolulu, HI Kahului, HI Kailua-Kona, HI Kapolei, HI Kaunakakai, HI Lanai City, HI Las Vegas, NV Laughlin, NV Lihue, HI Livermore, CA Maite, GU Manteca, CA Marina, CA Martinez, CA Mather, CA McClellan, CA Menlo Park, CA Merced, CA Modesto, CA N. Las Vegas, NV Oakhurst, CA Oakland, CA Pahrump, NV Pago Pago, AS Palo Alto, CA Pasay City, PI Pleasant Hill, CA Redding, CA Reno, NV Rohnert Park, CA Sacramento, CA Saipan, MP San Bruno, CA San Francisco, CA San Jose, CA Santa Rosa, CA Sonora, CA Susanville, CA Tulare, CA Ukiah, CA Vallejo, CA Yreka, CA Yuba City, CA Other
City, State
* must provide value
Alamogordo, NM Albuquerque, NM Anaheim, CA Anthem, AZ Arcadia, CA Artesia, NM Bakersfield, CA Blythe, CA Bonita, CA Casa Grande, AZ Chatsworth, CA Chinle, AZ Chula Vista, CA City of Commerce, CA Commerce, CA Corona, CA Cottonwood, AZ Culver City, CA El Centro, CA Escondido, CA Espanola, NM Farmington, NM Flagstaff, AZ Gallup, NM Gardena, CA Garden Grove, CA Gilbert, AZ Globe, AZ Green Valley, AZ Holbrook, AZ Hotevilla, AZ Kayenta, AZ Kingman, AZ Laguna Hills, CA Lake Havasu City, AZ Lancaster, CA Las Cruces, NM Las Vegas, NM Loma Linda, CA Long Beach, CA Los Angeles, CA Mesa, AZ Mission Viejo, CA Murrieta, CA North Hills, CA Oceanside, CA Oxnard, CA Page, AZ Palmdale, CA Palm Desert, CA Payson, AZ Peoria, AZ Phoenix, AZ Polacca, AZ Prescott, AZ Rancho Cucamonga, CA Raton, NM Redlands, CA Rio Rancho, NM Safford, AZ San Bernardino, CA San Diego, CA San Luis Obispo, CA San Marcos, CA Santa Ana, CA Santa Barbara, CA Santa Fe, NM Santa Fe Springs, CA Santa Maria, CA Scottsdale, AZ Sepulveda, CA Show Low, AZ Sierra Vista, AZ Silver City, NM Surprise, AZ Taos, NM Temecula, CA Truth or Consequences, NM Tuba City, AZ Tucson, AZ Ventura, CA Victorville, CA Yuma, AZ Other
City, State
* must provide value
Aberdeen, SD Albert Lea, MN Alexandria, MN Anoka, MN Bellevue, NE Bemidji, MN Bismarck, ND Brainerd, MN Carroll, IA Cedar Rapids, IA Chippewa Falls, WI Coralville, IA Dakota Dunes, SD Davenport, IA Decorah, IA Des Moines, IA Devils Lake, ND Dickinson, ND Dubuque, IA Duluth, MN Eagle Butte, SD East Moline, IL Ely, MN Fargo, ND Fergus Falls, MN Fort Dodge, IA Fort Meade, SD Galesburg, IL Gordon, NE Grafton, ND Grand Forks, ND Grand Island, NE Hayward, WI Hibbing, MN Holdrege, NE Hot Springs, SD Iowa City, IA Jamestown, ND Knoxville, IA Lincoln, NE Mankato, MN Maplewood, MN Marshalltown, IA Mason City, IA Minneapolis, MN Minot, ND Mission, SD Montevideo, MN Newcastle, WY Norfolk, NE North Platte, NE Omaha, NE Ottumwa, IA Pierre, SD Pine Ridge, SD Quincy, IL Ramsey, MN Rapid City, SD Rice Lake, WI Rochester, MN Scottsbluff, NE Saint Paul, MN Shakopee, MN Shenandoah, IA Sioux City, IA Sioux Falls, SD Spirit Lake, IA St. Cloud, MN Sterling, IL St. James, MN Superior, WI Wagner, SD Waterloo, IA Watertown, SD West Des Moines, IA Williston, ND Winner, SD Other
List other facility (city, state)
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Select your VA affiliation
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Select HSR affiliation
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Centers of Innovation (COINs) COnsortia of REsearch (COREs) Collaborative Research to Enhance and Advance Transformation and Excellence (CREATE) Initiative Community Care Research Evaluation & Knowledge (CREEK) Center The Elizabeth Dole Center of Excellence for Veteran and Caregiver Research PROVEN Hub Resource Centers Centralized Service Program (CSP) Other
ADAPT (Center of Innovation to Accelerate Discovery and Practice Transformation) CADRE (Center for Comprehensive Access & Delivery Research and Evaluation) CCDOR (Center for Care Delivery and Outcomes Research) CCMR (Center for Clinical Management Research) CeMHOR (Center for Mental Healthcare and Outcomes Research) Center of Innovation for Veteran-Centered and Value-Driven Care Center of Innovation in Long-Term Services and Supports for Vulnerable Veterans CHERP (Center for Health Equity Research & Promotion) CHIC (Center for Health Information and Communication) CHOIR (Center for Healthcare Organization and Implementation Research) Ci2i (Center for Innovation to Implementation: Fostering High Value Care) CINCCH (Center of Innovation for Complex Chronic Healthcare) CIVIC (Center to Improve Veteran Involvement in Care) CSHIIP (Center for the Study of Healthcare Innovation, Implementation and Policy) HEROIC (Charleston Health Equity and Rural Outreach Innovation Center) IDEAS (Informatics, Decision-Enhancement and Analytic Sciences Center) IQuESt (Center for Innovations in Quality, Effectiveness and Safety) PRIME (Pain Research, Informatics, Multi-morbidities, and Education Center) Other
Veteran Access Research Consortium (VARC) Pain/Opioid CORE Suicide Prevention Research Impact NeTwork (SPRINT) Virtual Care CORE Other
Advancing MRSA Infection Prevention Evidence-Based Therapies for PTSD Improving Quality and Safety through Better Communication in PACTs Improving Rural Veterans' Access/Engagement in Evidence-Based Mental Healthcare Improving Therapeutic Decision-Making through Veteran-Centered Population Analytics Long-Term Care Pain Management and Patient Aligned Care Promoting Value & Access in VA's Substance Use Disorder Services Transforming Prevention into Action Women Veterans Healthcare Other
Which Resource Center?
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CIDER HERC VIReC
List "other" HSR&D affiliation
Which QUERI project?
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Chronic Heart Failure (CHF) QUERI Diabetes Mellitus (DM) QUERI HIV/Hepatitis QUERI Ischemic Heart Disease (IHD) QUERI Behavioral Health (BH) QUERI Polytrauma and Blast-Related Injuries (PT/BRI) QUERI Spinal Cord Injury (SCI) QUERI Stroke (STR) QUERI Substance Use Disorders (SUD) QUERI Other
List "other" QUERI project
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List "other" research affiliation
List "other" QI/operations project(s)
List "other" VA affiliation
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Are you a Career Development Awardee (CDA)?
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Yes No