Washington State Hospital Association
Washington State Hospital Association
Form submission portal

Rural Health Transformation Program

Funds for Critical Technology Infrastructure and Maintenance Needs

RHTP Portal Access Form

Once submitted, the designated point of contact will receive a confirmation email along with a link to the application packet and a location to upload completed documents.
For questions, please contact: [email protected]

Fields marked * are required.

This field is required.
0 / 255
The legal name is the name of the entity responsible for legal obligations; this will be the name that will be used on the contract.
This field is required.
0 / 255
Your application cannot be approved without a UEI. If you do not have one, you should immediately apply for one through Sam.gov and supply it to WSHA as soon as it is received. While not required to get started on your application, a UEI will be required for you to complete the process. If you do not currently have one, you will need to come back to this form later to provide.
0 / 255
This field is required.
0 / 255
This is the email address that will receive a confirmation email and be granted access to a secure upload portal to provide completed application documents.
This field is required.
0 / 255
This field is required.
0 / 255
This field is required.
0 / 255
This should be the CFO, CEO, or COO
0 / 255
0 / 255
If there are other individuals that should be included on communications, please enter their email addresses here, seperated by a semicolon. ";"
© 2026 Washington State Hospital Association