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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Community health representative: The first tribally contracted program, since 1968 - American indian paraprofessional healthcare providers

Program Management and Guidance

Indian Health Manual Community Health Representative Policy

Indian Health Manual Part 3, Chapter 16, Community Health Representatives - The Community Health Representatives (CHR) Program is an Indian Health Service (IHS) funded, tribally contracted/granted and directed program of well-trained, community-based, health care providers, who provide health promotion and disease prevention services in their communities.

http://www.ihs.gov/PublicInfo/Publications/IHSManual/Part3/pt3chapt16/pt3chpt16.htm