Share your message of gratitude or encouragement by using the form below. Your message will be shared with IU Health team members. Thank you.

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* First Name

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* Last Name

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* Email Address

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* Phone Number

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* Use this space to send a message of gratitude to IU Health nurses, doctors and other frontline team members.

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* Submit your handwritten message of gratitude here.

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* If you have given, tell us about what inspired you to donate to IU Health's COVID-19 Rapid Response.

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* To explore giving options please visit iuhealthfoundation.org/covid19.

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* Which IU Health locations are you most connected to? (Please check all that apply).

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* By checking the box below, I certify that I have read and acknowledge this policy:  If content of the message is deemed inappropriate by IU Health, submissions will not be distributed digitally or otherwise. Personal or confidential information should not be submitted using this form. Submissions may be edited for use. I give permission for IU Health to use my responses.

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