Health Information Awards Judges Application Form
City / State / Zip:
Specialties: (check all that apply)
Note: Any specialties you check will help us assign entries
that are focused in your area of expertise. If none
are checked, you will be given a general variety of
Home Health Care
Hospital/Health Care Systems
Nurse/Allied Health Professional
more information about judging the National
Health Information Awards, contact Patricia Henze at
1-800-828-8225, weekdays 8-5 Central time.
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