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* Describe a situation where you positively impacted patient care. (please keep to 25 words or less)

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* Please provide the following information.

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* Upload a photo of you or your team! (only one photo can be uploaded)

PDF, PNG, JPG, JPEG file types only.
Choose File

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* Interested in submitting a video of you or your staff? Provide the link to your video testimonial on YouTube here! If you do not have one yet, the link may be emailed to hipweek@ahima.org anytime through HIP Week. For optimal viewing, please keep video to 60 seconds or less.

Thank you for participating! Any questions? Feel free to reach out to hipweek@ahima.org.


By doing any of the following: (i) selecting “Okay” below, (ii) contributing on social media at #HIPWEEK20, (iii) sending pictures, your company logo, YouTube videos or other materials to hipweek@ahima.org or (iv) submitting this survey and any uploaded materials, YOU HEREBY GIVE PERMISSION TO QUOTE FROM YOUR COMMENTS AND USE ANY AND ALL OF THE MATERIALS YOU PROVIDE IN ADS, BROCHURES, MAIL AND OTHER PROMOTIONS IN CONNECTION WITH HIP WEEK AND THE PROFESSION.

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