The Fred Hill Award

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Fred Hill Award

This award recognizes an Alabama respiratory therapist who practices in a specialty role outside of traditional bedside clinical care.

Specialty practice areas may include, but are not limited to:
• Education (RT program faculty or clinical educators)
• Critical Care Transport
• Diagnostics (PFTs, sleep studies, bronchoscopy)
• Research
• Pulmonary Rehabilitation
• Home Care
• Telemedicine
• Other specialty areas of respiratory care

Full Name of Nominee *

Is Nominee an AARC Member

Yes

Clear selection

Phone Number of Nominee *

Email of Nominee *

Nominee Place of Employment *

Briefly describe why this individual will make a good candidate for this award *

Any additional comments

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms