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Our Mission:  Through our exceptional health care services, we reveal the healing presence of God.
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Information Request Form

Please check your items of interest and print clearly.

SSM Health Care Application Summary (available at www.ssmhc.com)

Interview or Media Request
    Contact Name:
    Organization Name:
    Contact Phone Number:


Speaker
    Type of event:
    Date of event:
    Location of event:
    # of Attendees Anticipated?
    Area(s) of interest:
    (check all that apply)
    Leadership
    Strategic Planning
    Focus on Patients / Other Customers / Markets
    Information and Analysis
    Staff Focus
    Process Management
    Quality Journey
    Other area of Interest:
Benchmarking
    Process to be studied:
    Location of event:
    Date:

Other Information


Your Contact Information:

Name:
Title:
Company:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:


Today's Date: 11/22/2008

SSM Health Care Contact Information:
Phone: 314.994.7999
Fax: 314.994.7837
E-mail: baldrige@ssmhc.com

All requests are subject to review. SSM Health Care reserves the right to cancel or reschedule any seminar, as deemed appropriate, without prior notice.


To send comments about this site, CLICK HERE. To request more information about SSMHC, or to be placed on the mailing list for our NETWORK Newsletter, CLICK HERE or call (314) 994-7913
SSM Health Care - 477 N. Lindbergh Boulevard - St. Louis, Mo., 63141 - Phone: (314) 994-7800 - Fax: (314) 994-7900