Request for Consideration of Meeting with OBH Assistant Secretary

Providers and vendors may request a meeting with OBH Assistant Secretary. Please fill out and submit a request for consideration form in order to make the request.

Please email supporting supporting publications, bibliography, or other documents to the following (OBHRequest@la.gov)

Relevant research studies submitted should be free of industry bias and non-industry supported.

Contact Information

(First)
(Last)

Procedure, Treatment, or Service Information

What is the name of the procedure, treatment, or service that you would like to discuss with the OBH Assistant Secretary?

Provide a brief description of the treatment, procedure, or service that you would like to discuss with the OBH Assistant Secretary (please include billing codes, if known).

Provide a brief description of current alternative treatments, procedures, or services (please include billing codes, if known).

What are the patient populations covered by this request?

What are the desired and/or expected outcomes? (e.g., improved survival, decreased need for hospitalization)

In what settings would this be used? (e.g., inpatient/outpatient)

What types of providers would use this intervention? (e.g., type of physician, therapists, advanced practice nurses)