The Children’s Specialty Care Coalition in California is pursuing a budget ask for $30 million general fund to stabilize the pediatric specialty care network.  This funding will enable medical groups to hire more physicians in specialties where there are acute shortages and expand satellite clinic operations in rural areas for certain specialties.  We are looking for patients and families who are willing to share their experiences and challenges in accessing pediatric specialty care. Please take a few minutes to fill out this short survey.

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* 1. Who is the individual with special needs?

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* 2. Age of individual

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* 3. Where does the individual reside? 

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* 4. How many specialists do you or your child see?

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* 5. What challenges do you face when accessing “specialty” care? (check all that apply)

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* 6. Please share a few sentences on the challenges you have faced receiving specialty care.

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* 7. Are you willing to share your experience with the media?  (Online, newspapers, radio or TV)

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* 8. If yes, please provide contact information.

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