Technical Assistance (TA) Request Form

MSPI Links:
MSPI Main Page | MSPI Alerts

The National Indian Health Board provides one-on-one technical assistant to MSPI Tribal project sites to meet any of their unique and specific needs. Please feel free to fill out the form below and we will respond promptly to your request.

Please specify what kinds of services you are requesting:
(check all that apply)

	Tele-assisted Training or Technical Assistance (through phone & email)
	Electronic Resource Request
	Webinar Training or Technical Assistance (via Webex system)

Please describe the nature and extent of the issue or problem you are experiencing*:

Tribe & Program Information

Tribe/Organization & Program Name*:
City*:
State*:

Contact Information

Name*:
Title:
Email*:
Phone:
FAX:

* Required Fields.

Behavioral Health Inquiries:

Paul R. Allis, B.S.W, M. Ed
Director of Public Health

National Indian Health Board
926 Pennsylvania Ave, SE
Washington, DC 20003
Phone: 202-507-4085
Email: pallis@nihb.org

Carolyn Hornbuckle, J.D.
Public Health Project Coordinator

National Indian Health Board
926 Pennsylvania Ave, SE
Washington, DC 20003
Phone: 202-507-4084
chornbuckle@nihb.org