OHFAMA Membership Spotlight

You deserve the spotlight! Please fill out the following survey or share with a friend or colleague. You may be featured in an upcoming OHFAMA Journal or monthly E-Blast!

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1. Name (Required.)

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2. Email

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3. Practice Location

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4. How many years have you been in practice?

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5. Who were your mentors?

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6. What do you like best about your practice?

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7. What do you like to do outside of work?

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8. What is your most significant contribution to your profession or community?

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9. What’s something people might not know about you?

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10. Personal statement:

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11. Please add any photos

OHFAMA Membership Spotlight

Question Title

* 1. Name (Required.)

Question Title

* 2. Email

Question Title

* 3. Practice Location

Question Title

* 4. How many years have you been in practice?

Question Title

* 5. Who were your mentors?

Question Title

* 6. What do you like best about your practice?

Question Title

* 7. What do you like to do outside of work?

Question Title

* 8. What is your most significant contribution to your profession or community?

Question Title

* 9. What’s something people might not know about you?

Question Title

* 10. Personal statement:

Question Title

* 11. Please add any photos

1. Name (Required.)

2. Email

3. Practice Location

4. How many years have you been in practice?

5. Who were your mentors?

6. What do you like best about your practice?

7. What do you like to do outside of work?

8. What is your most significant contribution to your profession or community?

9. What’s something people might not know about you?

10. Personal statement:

11. Please add any photos