LHIMA Award Nomination Form

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Annually, LHIMA recognizes the outstanding accomplishments of members in the following 3 areas:

Distinguished Member
Career Achievement
Outstanding Volunteer

Take this opportunity to honor those in our field that have influenced your career and made contributions to the improvement of our state association and the career of Health Information Management.

Please click here to review the criteria for each award.

1. About the Nominee

First Name *This question is required

Last Name *This question is required

Credentials

Title

Company Name

Street Address

City

State

Zip

Email Address *This question is required

Phone Number *This question is required

2. Please indicate award for the nomination submitted *This question is required

Distinguished Member Award
Career Achievement
Outstanding Volunteer

3. Reasons why the nominee deserves this award. *This question is required