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American Family Children's Hospital
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Reporting UW Health-SwedishAmerican Integration Activities

Thank you for taking the time to provide information describing your involvement in UW Health-SwedishAmerican integration activities. If you are unsure whether your activities need to be reported, please err on the side of over-reporting. As you engage in new activities, please continue to use this form to keep the Management Council up to date and to inform ongoing planning. For more information, visit UW Health and SwedishAmerican Integration.
 
* required field
 

*Name (First and Last)
 
Title
 
*e-Mail Address
 
Location
 
Department/Service
 
*Activities you are involved with would best be described as:
 
 
*Briefly describe your integration plan(s) or collaboration activity:
 
 
 
*Provide the intended outcome of this work:
 
 
List others involved in this work: