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HealthTrust Clinical Warrior Submissions

HealthTrust Clinical Warrior Submission

HealthTrust Clinical Warriors are clinicians (individuals or teams) working on the front lines demonstrating courage, sacrifice and a commitment to the improvement of human life in the war against COVID-19 through measurable efforts.

Thank you for submitting your colleagues. Fill out the form below. 

Please remember to include a photo!
1. Please prioritize the following initiatives for the Inclusion and Respect team. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
2. Copy of Please prioritize the following initiatives for the Inclusion and Respect team. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
3. Copy of Please prioritize the following initiatives for the Inclusion and Respect team. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
Submission type: *This question is required.
Team submission information: *This question is required.
Space Cell Team LeaderAdditional MemberAdditional MemberAdditional MemberAdditional Member
Name
Title
Facility Name
Email Address
Individual submission information: *This question is required.
Please provide a photo of the HealthTrust Clinical Warrior(s). *This can be a picture from your phone. *This question is required.