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2017 HEALTHCARE NOMINATION FORM

The Los Angeles Business Journal is proud to announce the 2017 Healthcare Leadership Awards. Please complete a form below to nominate an individual and organization that has made strides in helping Angelenos receive better healthcare. If you would like to submit a nominee for more than one category, please submit a separate nomination form.
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WHO ARE YOU NOMINATING?

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AWARDS CATEGORY

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ABOUT THE NOMINEE

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PROFESSIONAL/COMMUNITY REFERENCES (Optional)

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HEADSHOT & COMPANY LOGO

Please upload a LARGE, HIGH-RESOLUTION headshot for the nominee and a company logo
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