Invitational Letter

Attachment 3 – Invitational letter

DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service

Centers for Disease Control and Prevention

National Center for Health Statistics

3311 Toledo Road

Hyattsville, Maryland 20782

Date

Full name

Street address

City, State, Zip

Dear [Fill]:

Recently, your [office/hospital] participated in the [National Ambulatory Medical Care Survey (NAMCS)/National Hospital Ambulatory Care Survey (NHAMCS)], a key survey about health care in the United States. To help us improve this survey, the Questionnaire Design Research Laboratory at the National Center for Health Statistics is looking for volunteers to participate in brief follow-up interviews. These interviews will be used to help us to improve our data collection forms and plan for future years of the survey.

You will be asked to participate in a one hour one-on-one survey research interview and you will receive $100 for your participation.

Participation is voluntary, and you or your staff may refuse to answer any question or may stop participating at any time without penalty or loss of benefits.

You will be called to ascertain your interest in participating in this important study and to discuss details of your participation. If you have any questions regarding this study, please call me at 301-458-4335. We greatly appreciate your cooperation.

Sincerely,

Liz Zarate

Questionnaire Design Research Laboratory

Centers for Disease Control and Prevention

National Center for Health Statistics

3311 Toledo Road

Hyattsville, MD 20782

Phone: 301-458-4335

Email: EZarate@cdc.gov

¹This study is authorized by Section 306 of the Public Health Service Act (Title 42, U.S. Code, 242k). All information collected as part of this study will be held in the strictest confidence according to Section 308(d) of the Public Health Service Act (42, U.S. Code, 242m(d)) and the Confidential Information Protection and Statistical Efficiency Act (Title 5 of PL 107-347). This information will be used for statistical purposes only. No patient names, social security numbers, or addresses are collected as part of this study. This study conforms to the Privacy Rule as mandated by HIPAA, because disclosure of patient data is permitted for public health purposes. The NCHS Research Ethics Review Board has approved this study.