Contact Information:

Name:

Title:

Company:

Address:

City / State / Zip:

Phone:

E-Mail:

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 entries.

Consulting
Education
Food Industry
Government
Managed Care
Home Health Care
Hospital/Health Care Systems
Insurance
Media/Publishing
Medical Communications
Medical Equipment/Supplies
Nonprofit
Nurse/Allied Health Professional
Pharmaceutical
Physician

For more information about judging the National Health Information Awards, contact Patricia Henze at 1-800-828-8225, weekdays 8-5 Central time.