1. (a) Notwithstanding the requirements of He-C 801.03, above, licensed health care providers shall have the option to opt out of the survey process.
2. (b) Licensed health care providers choosing to opt out of the survey shall complete and submit the “New Hampshire Health Professions Survey Opt-Out Form” (February 2021) located on the Health Professions Data Center at https://www.dhhs.nh.gov/dphs/bchs/rhpc/data-center.htm.

3. (c) The form shall be submitted to SORH via one of the following:

   1. (1) Using the submission prompt at the end of the online link;

   2. (2) Emailing as an attachment to the relevant address, as follows:

      1. a. For advanced practice registered nurses, NHAPRNSurvey@dhhs.nh.gov;
      2. b. For physician assistants, NHPASurvey@dhhs.nh.gov;
      3. c. For physicians, NHPhysicianSurvey@dhhs.nh.gov;
      4. d. For mental health practitioners, NHMHPractitionerSurvey@dhhs.nh.gov
      5. e. For drug and alcohol counselors, NHLADCSurvey@dhhs.nh.gov;
      6. f. For psychologists, NHPsychologistSurvey@dhhs.nh.gov;
      7. g. For dentists, NHDentistSurvey@dhhs.nh.gov; and
      8. h. For dental hygienists, NHRDHSurvey@dhhs.nh.gov; or

   3. (3) Printing the completed form and submitting the paper copy by:

      1. a. Faxing to (603) 271-4506; or

      2. b. Mailing to:

         Rural Health & Primary Care

         Division of Public Health Services

         29 Hazen Drive

         Concord, NH 03301

Source. #12774, eff 5-7-19; ss by #13172, eff 2-23-21 (see also Revision Note at part heading for He-C 801)