Nomination Form - 365 Collective by Abigail Fox + Serendipity

Medical Leaders Making a Difference
Serendipity will be featuring inspiring stories on medical centers and healthcare leaders who are making an impact on patients and our community. Submissions are accepted from July 1st through August 1st. Selections will be featured on Serendipitysocial.com, social media and in the Fall / Winter Serendipity printed issue.
Nominator Information
Name*
First Last
Company
Email*
Nominee Information
Name*
First Last
Nominee's Title*
Hospital, Medical Center or Office Affiliation*
Email*
Phone
Please provide an explanation to support your selection*
Nomination Deadline: August 4, 2023

Medical Leaders Making a Difference