DC HEALTH PROFESSIONAL LOAN REPAYMENT PROGRAM APPLICATION
DC Department of Health
Health Care Access Bureau
Health Professional Loan Repayment Program
899 North Capitol Street NE, 3rd Floor
Washington, DC 20002
P: (202) 442-5892 F: (202).442.4948
Section II: DC HPLRP Recommendation Form (This is the second part of three sections that make up the DC
Recommendation forms must be completed by professional references; at least two references must be the applicant’s current or former supervisors.
In what capacity do you know the applicant?
A. Demonstrates and understands the need to provide care to the underserved
B. Demonstrates knowledge and acceptance of cultural diversity
C. Possesses strong interpersonal skills
D. Understands the health care delivery system
E. Exercises maturity in relating to patients and in making decisions
F. Ability to adapt and/or be flexible when relating to others on a professional basis