The Foundation evaluates its internal processes
and the impact of its activities.
Prevention, Access & Collaboration
Need Help Paying for Medications?
Get Help Today!
In Dutchess Co. call 845-877-9272
In Columbia Co. call 518-822-8820
In NW Connecticut call your town social services
Ask about FCH’s Prescription Assistance Fund
Reporting Forms
Current grantees should use the forms provided for submitting their required interim and final reports:
For your convenience we have provided downloadable, fill–in PDF or MS Word forms.
There are three options for using the fill–in forms:
- Download and save a copy of the forms to your hard drive to work offline (this option is available only if you have the complete Adobe Acrobat™ application).
- Open the forms using Adobe Acrobat Reader™ to fill in the forms online.
- If you would like to work with the forms in Microsoft Word™, they are available for download below the PDF versions. (Automatic calculations are unavailable for these versions).
Reporting PDF Forms
- Budget Reporting Form (129kb)
- Logic Model Report Form Example
- Logic Model Report Form
- Interim Narrative Report
- Final Narrative Report
Reporting Word Forms
Once complete grantees can submit these reports by email to info@fchealth.org or mail a hard copy to:
Foundation for Community Health
106B Upper Main Street
Sharon, CT 06069
Download the Adobe Acrobat Reader:
