SurgiStrategies 2011 Who’s Who Issue
To nominate a facility for the 2011
SurgiStrategies
Who’s Who Issue, please provide the following information:
*Please Correct The Errors On The Form
*All Fields Are Required.
Your First Name
Your Last Name
Your Phone
Your Email
Facility Name
Facility Street Address
Facility City
Facility State
Facility Zip
No. years operating at this facility
*Value Must Be Numeric
No. of ORs
*Value Must Be Numeric
No. of personnel on staff
*Value Must Be Numeric
OR Type:
Single
Multi-Specialty
Facility Type:
Physician-Owned
Run By Management Company
Other
*
What sets the facility apart from others? (500 Word Max)
What do staff and patients think of the place? (500 Word Max)
Any awards, recognitions, accreditations, etc.? (500 Word Max)