Thank you for your interest in submitting your Promising Practice or Exceptional Service nomination for the 2025 LeadingAge Oklahoma ripples of IMPACT Annual Conference.

Your responses need only brief descriptions. If you use the same device, you may exit and return to your saved work at any time. If you have multiple submissions to make you will need to use a unique device for each submission.

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* 1. Please provide the following contact information:

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* 2. In which provider type was this Promising Practice or Exceptional Service displayed (select all that apply).

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