The letter discusses the process of selecting Indian Health Service Unit Directors, and the desire of the Choctaw Nation Advisory Council to participate in that process. The writer notes that they have been informed that there is no longer a vacant Director position in the Talihina Service Unit, but that the Indian Health Service seeks the advice and consultation of concerned tribal parties in making these appointments. They request a report on the process used to fill the Talihina Service Unit vacancy, and on the specifics of the type of consultation Indian Health Services undertakes with concerned tribal parties in filling vacancies.