Healthy Food in Health Care Pledge
Complete the following information for your hospital.
Facility Information
Hospital
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Health System, if applicable
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Street Address
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City
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State
Country
Postal Code
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Contact Information
First Name
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Last Name
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Job Title
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Email
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Phone
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Baseline Data
Please provide the following information about your facility
Total beds
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Number of patient meals/meal equivalents served per year
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Number of cafeteria meals/meal equivalents served per year
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Total food and beverage purchasing budget
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Our food service is operated by
If contracted, please provide name of company
Your answer
Food Purchasing
Our facility purchases our food through...
Group Purchasing Organization (GPO)
Your answer
Primary Broadline food distribution company
Your answer
Secondary Broadline food distribution company
Your answer
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