Compensation Opt-Out

Please fill out this form if you are not interested in receiving the $6,000 dollar compensation. This is available to eligible nursing homes participating in the National Nursing Home Covid-19 Action Network (NNHCAN) 16-week sessions. If you do NOT want to opt-out and would like to receive the 6,000 compensation, please visit the following form https://app.smartsheet.com/b/form/90193d6102de445fa5a7c29279da544d to start your request. Please refer to the compensation checklist found here https://iecho.unm.edu/sites/nh_unm1/download.hns?i=218. If you have any questions please feel reach out to ECHONursingHome@salud.unm.edu
 
 
 
Please type in your Facility name in this drop-down. If your facility is the same name as another the city has been added.
 
By clicking this checkbox you are confirming that you do NOT want to receive the $6,000 compensation.
 
Can you please provide a brief reason you have decided to opt-out of receiving compensation for your participation in the National Nursing Home Covid-19 Action Network?