July 25, 2008
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EMPLOYEE DEPOSIT SLIP

Please complete the following form and click on the submit button. Thank you.

Name:  

Department:  

Phone:  

Which best describes your suggestion:
Quality Improvement
Patient Satisfaction
Employee Satisfaction
Patient/Employee Safety
Cost Savings
Other

Describe your suggestion/proposal:*

Describe how your suggestion/proposal improves the WMHS:

Please identify others involved in the development of this suggestion:

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