Indiana Statewide Rural Health Network (InSRHN) Roundtable Participation

Complete this form to participate in an InSRHN roundtable. You can choose to participate in more than one roundtable.

Roundtable participation is open to InSRHN member hospitals only!

The CEO roundtable is open only to the InSRHN hospital CEO. All other roundtables are open to any interested InSRHN member.

First Name
Last Name
Title
Hospital
Email
Please choose which roundtable(s) you would like to participate in, you can choose more than one
Chief Executive Officer/Chief Operations Officer/President
Chief Financial Officer (CFO)
Community Outreach/Marketing Directors
Human Resource (HR)
Nutrition & Wellness
Pharmacy
Physician Practice Manager (PPM)
Provider Enrollment Specialist
Quality Directors
Rehabilitation/Transitional Care Unit Directors
Revenue Cycle (RC)
Risk Management (RM)
Rural Health Clinic (RHC)