Skip survey header

AAHIM Award Nomination Form for Distinguished Member and Outstanding New Professional

1. I am submitting a nomination for the following award? *This question is required.
2. About the Nominee
This question requires a valid email address.
3. Nomination Submitted By
This question requires a valid email address.
Personal Recommendations

A minimum of two letters of reference must be submitted with the nomination form, including a letter of reference from the individual or group making the nomination.
4. Recommendation Letter #1 *This question is required.
5. Recommendation Letter #2 *This question is required.