To contact the Indian Health Service Office of Tribal Self-Governance, please fill out the form below completely.
Indian Health Service
Office of Tribal Self-Governance
5600 Fishers Lane (08E05)
Rockville, MD 20857
To protect you, your family's, or your patient's privacy, please DO NOT include any Personally Identifiable Information (PII) or Protected Health Information (PHI) on this form.
Examples of PII and PHI are: personal phone number(s), personal address, individual health condition(s), Social Security number (SSN), date of birth (DOB), patient name (if not your own), and patient registration number.