PUBLIC HEALTH ADVISORY CONCERNING FENTANYL AND FENTANYL-LACED SUBSTANCES

Report your Data

reviewing graphs on tablet computerData Reporting

The Tennessee Department of Health asks your assistance in collecting information about where Living Well with Chronic Conditions, Take Charge of Your Diabetes and Cancer: Thriving and Surviving programs are being offered across Tennessee and who is participating. This information helps track statewide successes and identifies additional training, funding, and other support needs.

Report via Fax/Mail/e-mail

The following forms and memos explain the process of collecting and submitting data to the Tennessee Living Well with Chronic Conditions, Take Charge of Your Diabetes and Cancer: Thriving and Surviving Programs:

About this Workshop Information Form - an overview of forms and usage for Living Well with Chronic Conditions, Take Charge of Your Diabetes and Cancer: Thriving and Surviving workshops can be found at http://tn.gov/assets/entities/health/attachments/CD_Workshop_Form.pdf

Faxing Instructions: Please fax documents to 615-532-7189.

E-mail: Please e-mail document to kate.a.weiland@tn.gov.

Report Online

To report program summaries and participant information, please use the forms below:
Workshop Form

Program Summaries can also be reported online! Please complete this form at the end of each 6-week program you lead and submit data by mail or email to the Tennessee Department of Health within one week of completing the program.

Upcoming Programs can now be submitted via e-mail! Please send information about all upcoming programs, whether or not they're open to the public.  Include all information necessary to be posted on the workshop calendar:  Workshop type, location, date, time, city, county and contact for registration. Send to kate.a.weiland@tn.gov.

Mailing Address:
Chronic Disease Program
710 James Robertson Parkway, Andrew Johnson Tower, 8th Floor
Nashville, TN 37243