U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives


Division of Grants title banner




These plug-ins
may be required
for the content
on this page:


Link to Adobe Acrobat Plug-in Acrobat
Link to MicroSoft Word Plug-in MS Word
Link to MicroSoft PowerPoint Plug-in PowerPoint

IHS Plug-in Page

Use site contact
if unable to view
a particular file

Forms

Application Forms

Assurances

Certifications

Miscellaneous Forms

  • Relinquishing Statement PHS 3734 [PDF]
    Official Statement Relinquishing Interests and Rights in a Public Health Service Research Grant (PHS 3734)
  • Key Contact Form [10/09-PDF-21KB]
    Complete Key Contacts Form with information for Program Coordinator.

Content on this page may require: Link to Adobe Acrobat Plug-in Acrobat  Link to MicroSoft Word Plug-in MS Word  Link to MicroSoft PowerPoint Plug-in PowerPoint 

usa.gov link   Accessibility · Disclaimer · Website Privacy Policy · Freedom of Information Act · Kid's Page · Contact   This website is accredited by Health On the Net Foundation. Click to verify.

Indian Health Service (HQ) - The Reyes Building, 801 Thompson Avenue, Ste. 400 - Rockville, MD 20852