Reminder Letter

Att. 5_SupplementalForm4_NYSDOHReminderLetter.docx

CDC/ATSDR Formative Research and Tool Development

Reminder Letter

OMB: 0920-1154

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Andrew m. cuomo

Governor

Howard A. Zucker, M.D., J.D.

Acting Commissioner

Sally Dreslin, M.S., R.N.

Executive Deputy Commissioner


January 22, 2021




Dear Parent or Guardian of <<Adolescent first name>> <<Adolescent last name<<,


Recently we sent you a survey seeking information about the healthcare experiences of your child with a congenital heart defect. New York State Department of Health researchers hope to use responses from this survey to develop educational modules for adolescents with congenital heart defects, their families and their healthcare providers.


We have not yet received your completed survey. If you have already mailed this back to us, please accept our sincere appreciation. If not, we would please encourage you to do so. It is important that your answers be included.


We have included another copy of the survey for your convenience. Please complete it and mail it back in the pre-paid, pre-addressed envelope enclosed.


If you have any questions or concerns about this survey, please feel free to contact Kristin Sommerhalter, the Congenital Heart Defects Survey Coordinator, by phone at (518) 402-7985 or by e-mail at [email protected].


We thank you for your consideration.


Sincerely,

Alissa R. Van Zutphen, Ph.D.

Principal Investigator & Assistant Bureau Director

Bureau of Environmental and Occupational Epidemiology

New York State Department of Health

1203 Corning Tower, Empire State Plaza

Albany, NY 12237

Fax: 518-402-7959


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSommerhalter, Kristin M (HEALTH)
File Modified0000-00-00
File Created2021-01-22

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