Report your Data

Data Reporting

The Tennessee Department of Health asks your assistance in collecting information about where Living Well with Chronic Conditions, Take Charge of Your Diabetes and Cancer: Thriving and Surviving programs are being offered across Tennessee and who is participating. This information helps track statewide successes and identifies additional training, funding, and other support needs.

Report via Fax/Mail/e-mail

The Workshop Form (see below) is to be completed and submited for any Tennessee Living Well with Chronic Conditions, Take Charge of Your Diabetes and Cancer: Thriving and Surviving Programs conducted.

Faxing:  Please fax the Workshop Form to 615- 242-2225.

E-mail:  Please e-mail the Workshop Form to Lisa.Kocak@tn.gov

Report Online

To report program summaries and participant information, please use the form:  Self-Management Registration Form

Program summaries can also be reported online!  Please complete this form at the end of each 6-week program you lead and submit data by mail or email to the Tennessee Department of Health within 1 week of completing the program.

Upcoming programs can now be submitted via email!  Please send information about all upcoming programs, whether or not they are open to the public.  Include all information necessary to be posted on the workshop calendar:  Workshop type, location, date, time, city, county and contact for registration.  Send to Lisa.Kocak@tn.gov.

Mailing Address:                                                                                                                                                                                            

Chronic DIsease Program                                                                                                                                                                                     

 710 James Robertson Parkway                                                                                                                                                                 

Andrew Johnson Tower, 8th Floor                                                                                                                                                             

Nashville, TN 37243