Wellness Toolkit Implementation Progress

Wellness Toolkit Implementation Progress Report

Contact Details

State Medical Society Name *

Email *

Point of Contact Name *

Phone *

Progress & Activities

Please indicate the time frame this report covers. *

Current status: please share 3-4 sentences on the current status of your project. *

Please tell us what progress you've made in achieving the goals and objectives outlined in your application. *

In detail, please describe what activities have taken place. *

Results

Has SafeHaven legislation been introduced and/or passed in your state? Please upload a copy of the legislation, if applicable. *

Optional Legislation Upload

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Challenges

Please describe any unanticipated challenges you have encountered and how you addressed them. What potential challenges might you face going forward? Do you anticipate they will impact project completion? How you plan to approach these potential challenges? *

Budget

Click here to download and complete the budget template.

Budget - please upload attached template. *

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Project Coverage

Please link to or upload any articles, social media mentions, etc. related to this project.

Project Coverage Upload

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