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Hospital of the Year Award Nomination Form

If you are interested, please fill out the form below:

    Your Name *

    Your Email *

    Your Phone *

    Hospital Name *

    Hospital Contact Person (if known)

    Hospital Email *

    Hospital Phone Number *

    Hospital Website

    Hospital Mailing Address *

    Instagram Handle

    Facebook Page Link

    LinkedIn Page Link

    Hospital Logo (if available) *

    Tell us why this hospital deserves to be recognized as Hospital of the Year *

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