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HRSA Electronic Handbooks

State Oral Health Workforce

pdf
  • Health Resources and Services Administration
  • Academic Year: 2022-2023
  • Bureau of Health Workforce
  • OMB Number: 0915-0061
  • Annual Performance Report
  • OMB Expiration Date: 01/31/2025

SOHWP-B: Expanded Facilities

If your program expanded existing dental facilities in a HPSA/underserved area, select ‘Yes’ and complete the table below, otherwise select ‘No’ and proceed to the next form. If you wish to view data that were submitted in the prior reporting period, click on the 'View Prior Period Data' link and a read-only version of your most recent prior performance report will pop-up in a new screen.


Did your program expand existing dental facilities in a HPSA/Underserved area? (Block 2)
(complete table below)(proceed to the next form)
Add Facility


No.Facility Name
(1)
Block 2b
Select the Type of Facility
(2)
Block 2a
Select Type(s) of Oral Health Services Provided
(3)
Block 2c
Enter Average # of Patient Encounters Prior to Expansion
(4)
Block 2d
Enter Actual # of Patient Encounters Post Expansion
(5)
Block 2e
Enter Average # of Patient Encounters Facility can Accomodate
(6)
Block 2f
Select whether this is a Mobile/Portable Facility
(7)
Block 2g
Option(s)

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