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Community Relations Clinical Onboarding Questionnaire

On behalf of the Community Relations Team, welcome to the Aspen Valley Hospital family.

The purpose of this questionnaire is to ensure that you are properly recognized across all Aspen Valley Hospital communications channels, including the hospital website, enewsletters, our biannual Healthy Journey magazine, social media posts, local newspaper and magazine ads and other hospital marketing materials as needed. We work with a writer, Allyn Harvey, who is responsible for writing our staff bios. The first draft of your bio will be composed from the information collected below. If necessary, Allyn may schedule a follow-up phone consultation with you.

The Hospital is known for attracting exceptional talent, and we are excited to tell your story so that the community we serve can get to know you.

"*" indicates required fields

Full name with credentials as it should read in your biography:*

(Example: First Name, Last Name, MD FACS)

Undergraduate school, degree, year graduated:*

Medical, Graduate, PA, RN, PT/OT Schools attended, year(s) graduated for multiple entries:*

Fellowship(s):

Residency:

Certification(s):

Publications:

Association(s):

Please include link to the corresponding website(s).

Q1. How long have you practiced in the Roaring Fork Valley? How long have you practiced at Aspen Valley Hospital? If you are new to the area, where did you practice and for how long before moving here?*

Q2. Is there an area of focus or particular aspect of your specialty in your practice that you would like to point out and explain?*

Q3. Where have you worked in the medical profession (doctor, administrator, volunteer, etc.) before joining AVH? Hospitals, your own private practices, locum tenens, other organizations (such as Doctors Without Borders, etc.)?*

Q4. Do you have any other accomplishments or appointments related to your profession that you would like to point out? (Editorships, board memberships, fellowships, etc.)*

Q5. What are your two favorite things about living in Aspen, the Roaring Fork Valley and/or Colorado? This is about you personally, not professionally.*

Q6. Or, if new to the valley: What drew you to work in Aspen at AVH? This is about you personally, not professionally.*

Q7. Please feel free to add details. If you have a story about your career, let us know.

If you are multilingual, please list languages you speak?

Email Address*

Where can we send the draft of your bio?

Cell Phone Number*

What is the best number where we may contact you if we have any questions?

Comments

This field is for validation purposes and should be left unchanged.

Check out our Living the High-Altitude Life Handbook, written by AVH staff. If you would like to contribute content for our community enrichment, please email Jennifer Slaughter, Chief Growth and Marketing Officer at jslaughter@aspenhospital.org.

Bio Questionnaire

Community Relations Clinical Onboarding Questionnaire