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MHAC Feedback Form

for people living in Garrett County

                                  

Garrett County

Mental Health Advisory Committee

Consumer Feedback

 

We at the Garrett County Mental Health Advisory Committee would be grateful to know how you are doing.  The next meeting is scheduled for April 19, 2005 at 9:30 a.m. to 11:30 a.m. in Health Department Conference Room C in Oakland.

 

Tracking Number:  001mar212005, a way for you to follow up on your comments without giving your name.

 

Date submitted: ________________ (Note:  all feedback will be reviewed)

Do you want us to contact you? _____ If so, how? ____________________________.

 

You may contact us at (301) 334-7440, by e-mail at gccsa@dhmh.state.md.us.

 

So, how are you? 

What is working in Garrett County?  What isn’t working? 

Any suggestions?

 

 (may be written or drawn):