Team Volunteers


Thank you for your interest in supporting the COVID-19 Public Health Emergency Response.


Provider Survey

As a practice or group, your providers will undergo pre-screening processes prior to your group being referred to one of the NETCCN clinical teams currently supporting COVID-19 responses. The clinical teams will ask for additional information to confirm your team’s credentials and to assign appropriate roles supporting the COVID-19 response.

Following this process, your clinicians will be asked to sign a Volunteer Affirmation Statement to affirm that they acknowledged the minimum expectations of NETCCN volunteers.



Instructions

  1. Validate that you have a PDF reader with form-completion features. Need a PDF Reader? Download a PDF Reader by clicking here.
  2. Download the "NETCCNTeamVolSurvey.pdf" form in pdf format
  3. Complete the PDF form and save completed survey.
  4. Email the completed survey to usarmy.detrick.medcom-usamrmc.mesg.netccn-operations-officer@mail.mil.
Download Team Survey
Provider Survey