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Program Self Assessment Request

Prior to downloading the SH/HIP Program Self Assessment Tool, please provide us with the following information:

 

first name:
last name:
Program Name:
address:
city:
zip:
phone: ext.
fax:
email:
retype your email:
your work setting:


 

 

  

The Statewide Homeless/HIV Integreation Project (SH/HIP) | 942 W. Chestnut Street | Brockton, MA | 02301 | (508)583-2250 | Contact Us
HCSM Home For more information about Health Care of Southeastern Massachusetts, Inc. and other services provided by the agency, please visit Prevention & Community Services. If you are a Massachusetts funded drug and alcohol treatment program and you’re interested in additional HIV capacity-building training, technical assistance and resources, please check out the website of our sister program, SPHERE.