Nominate yourself or someone you know deserving of this award by filling out the form below.

The Healthcare Innovation 40 Under 40 program recognizes professionals working in the healthcare industry who are making a significant contribution to their organization’s success. This program is open to end-users, vendors, consultants, professors, and everyone working within healthcare.
 
To qualify for Healthcare Innovation’s 40 Under 40 program, nominees must be 39 years old or younger as of December 31, 2023. You may recommend anyone you feel deserves it, and you are welcome to nominate yourself.
 
Winners will be chosen by Healthcare Innovation’s Editorial Team and staff and winners will be announced in the September/October issue of the Healthcare Innovation Magazine. Additional recognition will be featured on the Healthcare Innovation website and via social media. All winners will also be given a special 40 Under 40 image for their email signature and social media.
 
Winners will be contacted by Healthcare Innovation.
 
Nomination Deadline: July 10, 2023
Nominator Information

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* 1. Nominator contact information

Nominee Information

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* 2. Nominee contact information

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* 3. Position Title

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* 4. Why is this candidate a good fit for 40 under 40? (Maximum of 500 Words)

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* 5. Explain this candidate’s professional accomplishments. (Maximum of 500 words)

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* 6. How does the candidate show commitment to the industry and bettering their professional career? (Maximum of 500 words)

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