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JOIN our REFERRAL NETWORK

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Join our Referral Network

We are always looking for organizations to refer to, connect with one another, and reference in our communication. If you would like to add your organization to our referral network, please complete this inquiry form below.

Join our Referral Network

Is the organization in the behavioral health industry that currently serves individuals and/or communities who identify as Asian American, Native Hawaiian, or Pacific Islander?(Required)

The ‘Ohana Center of Excellence specializes in behavioral health support for AANHPI communities. If you answered NO to the question above, we may not be able to add your organization to our support nework.(Required)

Confirm if you answered YES to the question above. If so, please proceed.

Proceed with Referral Network Request

Please complete information about the organization below

Name of Organization requesting to be added to referral network(Required)

Address(Required)

City(Required)

State / Territory(Required)

Zip Code(Required)

Please select all the ethnicities you or your organization provides services to(Required)

Asian Indian

Bangladeshi

Bhutanese

Bruneian

Burmese

Cambodian

Chamorro/CHamoru

Chinese

Chuukese

Fijian

Filipino

Hmong

I-Kiribati

Indonesian

Japanese

Korean

Kosraean

Laotian

Malaysian

Maldivians

Marshallese

Mien

Mongolian

Native Hawaiian

Nepalese

Okinawan

Pakistani

Palauan/Belauan

Pohnpeian

Samoan

Singaporean

Sri Lankan

Tahitian

Taiwanese

Thai

Timorese

Tokelauan

Tongan

Vietnamese

Yapese

Other (please specify)

What kind of services and/or programs does the organization provide?(Required)

Please describe the mission and supporting information about the organization and/or communities it serves.(Required)

What is the website for the organization?(Required)

Please complete the information below about yourself.

First Name(Required)

Last Name(Required)

Role / Job Titile(Required)

Email Address(Required)

Enter Email Confirm Email

If other above, please specify here

How did you hear about the ʻOhana CoE? Please choose all options that apply, or choose other below.

Attended a ʻOhana CoE event

Attended a training or event where the ʻOhana CoE was mentioned ʻOhana CoE Regional or National Steering Committee Meeting

Presentation/speech about ʻOhana CoE

Colleague recommended

Exhibit at a conference or meeting

Online Search

Social Media

Newsletter

SAMHSA

Other (please specify below)

Subscribe to our email ‘ohana

Would you like to subscribe to our email list? We occasionally send updates about events, learning opportunities, resources, and trainings.(Required)

yes

no

Comments

This field is for validation purposes and should be left unchanged.

The AANHPI ‘Ohana Center of Excellence is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and is coordinated by the Hawai‘i State Department of Health in partnership with California State University – East Bay, Papa Ola Lōkahi, the Native Hawaiian & Pacific Islander Hawaii Response, Recovery & Resilience Team, and San José State University.

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