List the strong points of the review: List areas of the review in need of improvement: Who may we contact for additional information? Note: if you would like to be contacted, please include name and telephone number below. Survey Respondent Name: _ Telephone: ( ) Return within 30 days from notification of On-site Review Report completion to: Michigan Association for Local Public Health (MALPH) Box 13276 Lansing, MI 48901
List the strong points of the review: List areas of the review in need of improvement: Who may we contact for additional information? Note: if you would like to be contacted, please include name and telephone number below. Survey Respondent Name: _ Telephone: ( ) Return within 30 days from notification of On-site Review Report completion to: Michigan Association for Local Public Health (MALPH) Box 13276 Lansing, MI 48901