6/24/21 Intake Questionnaire Update!

There are two new questions to the Intake Questionnaire. Be sure to update this page on the types of service you can offer!


The first question:

The second question:

If you are a Dialysis or a Home Infusion (Pharmacy), provider, or a Psychiatric Hospital or Behavioral Health Unit, you will not see the second question on your Intake Questionnaire.


As a reminder, you can review this questionnaire, by logging into AIDA, clicking 'Edit Provider Profile' > then clicking 'Intake Questionnaire'. Be sure to save once you have updated the page!

This helps ensure that you are receiving relevant referrals based on the types of care/services you provide!

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