COVID-19 Stimulus Survey

COVID-19 Stimulus Survey Instructions

Please complete the following for each Facility/Provider/Location that you manage. If you manage more than five Facilities/Providers/Locations, please email the information for your additional locations to brandon@iowahealthcare.org.

  • First Facility/Provider/Location

  • Facility Type

  • Second Facility/Provider/Location

  • Facility Type

  • Third Facility/Provider/Location

  • Facility Type

  • Fourth Facility/Provider/Location

  • Facility Type

  • Fifth Facility/Provider/Location

  • Facility Type