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Fields
Community Relations Work Order and Website Change Request Form
Name:
*
First Name
*
Last Name
*
Department:
Phone:
Email:
*
Is this a website change request?
Yes
No
Page URL
What browser are you using (optional)
What device are you using (optional)
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Date Needed By:
*
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Month
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Feb
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Apr
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Jun
Jul
Aug
Sep
Oct
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Dec
Day
01
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Year
2024
2025
2026
2027
2028
2029
Project Description:
What is expected of Marketing and Community Relations Department?
Request Type:
Brochure
Postcard
Direct Mailing
Flyer
Social Media Posts
Promotional Items
Photos/Videos
Press Release
Event Assistance
Other
Quantity if applicable:
Is this a re-order?
Yes
No
What department should we bill?
ACCOUNTABLE CARE ORGANIZATION
ADMINISTRATION
ADMITTING
ANESTHESIOLOGY
ATHLETIC TRAINORS
CARDIAC REHAB.
CARDIOLOGY/RESPIRATORY THERAPY
CASE MANAGEMENT
CAT SCAN
CENTENNIAL RADIOLOGY
CENTRAL STERILE
CHILD CARE
CLINICAL NUTRITION
CNA CLASS
COMMUNITY RELATIONS
COURIER SERVICES
CRITICAL CARE UNIT
CRNA
CUSTOMER SERVICE
DIABETES CARE
ECHO
EDUCATION
EMERGENCY DEPARTMENT
EMPLOYEE HEALTH
ENGINEERING
ENVIRONMENTAL SERVICES
FAMILY BIRTH CENTER
FISCAL SERVICES
FOOD SERVICES
FOUNDATIONS
GRITMAN MEDICAL PARK
GRITMAN WELLNESS CENTER (ENG)
HEALOGICS
HEALTH INFORMATION SYSTEMS
HOSPITALIST
HUMAN RESOURCES
INFECTION CONTROL
INFORMATION SYSTEMS
INLAND ORTHO
KENDRICK CLINIC
LABORATORY
LAUNDRY SERVICES
MARTIN WELLNESS CENTER (POOL)
MASSAGE THERAPY
MATERIALS MANAGEMENT
MED SURG
MEDICAL STAFF
MOB CAF�
MRI
NURSING ADMINISTRATION
OCCUPATIONAL THERAPY
OUTPATIENT CLINIC
PAIN CLINIC
PALOUSE PSYCHIATRIC
PATIENT ACCOUNTING
PEDIATRIC HOSPITALIST
PET CT
PHARMACY
PHYSICAL THERAPY
PHYSICIAN CLINICS
PHYSICIAN RELATIONS
POTLATCH CLINIC
QUICKCARE RADIOLOGY
RADIOLOGY/DIAGNOSTIC
RADIOLOGY/NUCLEAR MEDICINE
RECOVERY ROOMS
SAFETY AND RISK MGMT
SAME DAY CENTER
SLEEP LAB
SOCIAL SERVICES
SPEECH THERAPY
SQM/QI
SURGERY
TRANSPORTATION
U OF I STUDENT HEALTH
ULTRASOUND
VOLUNTEERS
WOMEN'S CENTER
Who is the intended audience?
What is your budget for this project?
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