Community–Based Primary Care Clinic
Program Report
Reporting
The Quarterly Affidavit of Expenditures should be emailed to Kevin Shaughnessy at kshaughnessy@kdheks.gov
Primary Care Contact Person
Angela German, Primary Care Clinic Coordinator
KDHE, Primary Care Office
1000 SW Jackson, Suite 340
Topeka, KS 66612-1365
Phone: (785) 296-3135
Fax: (785) 296-1231
E-mail: agerman@kdheks.gov
Certified Affidavit of Expenditures – Community–Based Primary Care Clinic