ICHP 2017 Annual Meeting logo

Best Practice - Application Form

Best Practice - Application Form

Please complete all fields required for applicant information. Please note the size restrictions for manuscript file uploads at the end of this form.

Best Practice Application
Name:
ICHP ID Number:
Email Address:
Title/Position:
Health-System Name:
Address:
City:
State:
Zip:
Phone Number:
Fax Number:
Manuscript Title:
List of Co-applicants (maximum of six):
The manuscript will be forwarded to a pre-defined set of reviewers. Please do not include the names of the authors or affiliations in the manuscript to preserve anonymity.
File to upload:

File size must not exceed 20MB
File to upload:

File size must not exceed 20MB
File to upload:

File size must not exceed 20MB

If you have more than three files to upload, please forward via email to members@ichpnet.org. Include Best Practice Submission in the subject line and your manuscript title in the body of the email.

or Cancel