California Rural Health Information Technology Partnership

California Rural Health Information Technology Partnership logo


USDA Rural Development has joined with partners in California to help rural health care providers develop information technology (HIT). For an overview of Rural Development programs available to assist with Health IT projects, review the documents below.

HIT Fact Sheet

HIT PowerPoint


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Community Facilities HIT Loan Application Checklist Packet


A variety of forms for the Community Facilities programs are listed below for your convenience

Form SF 424 - Application for Federal Assistance

Form SF 424A - Budget Information, Non-Construction Programs

Form SF-424C - Budget Information

Form SF-424D - Assurances - Construction Programs

Form RD 1940-20, Request for Environmental Information

Clearing House Sheet for Notification

Form AD-1047, Certification Regarding Debarment, Suspension and Other Responsibility Matters - Primary Covered Transactions

Form AD-1049, Certification Regarding Drug-Free Workplace Requirements (Grants) Automatic 1 - For Grantees Other Than Individuals

Form RD 400-1, Equal Opportunity Agreement

Form RD 400-4, Assurance Agreement

1940-Q, Exhibit A-1

Form RD 1910-11, Application Certification - Federal Collection Policies for Consumer or Commercial Debts

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USDA Rural Development Contact

Janice Waddell, HIT Coordinator
430 G Street, Agency 4169, Davis, CA 95616
Phone: (530) 792-5810 | Fax: (530) 792-5839

Partnership Contacts

DHCS-State Office of Rural Health
California Hospital Association Rural Healthcare Center