eHealth & Innovation Award 2020

eHealth & Innovation Award 2020

It is extremely important that all details are correct and all answers are answered.
Guidelines for entry:
- Application forms for awards entries must be received via email by midnight,20th March, 2020.
- Please restrict answers to no more than 350 words unless otherwise stated.
- Please be aware this is an individual entry for an Independent Pharmacy.
- Supporting material such as annual reports, graphs, videos, financial data and so on may be included.
Pharmacy Name:
Name of Pharmacy Manager:

First NameLast Name
Pharmacy Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pharmacy Phone Number:

Area CodePhone Number
Mobile Number:
Email:
example@example.com
Name of person nominating (If different from above):

First NameLast Name
Pharmacy Name:
Pharmacy Phone Number:

Area CodePhone Number
Mobile Number:
Email:
example@example.com
Is the Nominee aware of your nomination?

YesNo
Names of local newspaper and radio stations you would like to see coverage in:
PR & Marketing contacts:
The next section of the application involves 5 questions. Questions 1- 4 must be answered in no more than 350 words, and question 5 in no more than 1,000 words

Supporting material is permitted and is not included towards your word count.

Please send a maximum of four high res images to accompany your application. All images must contain full captions.

Deadline for entries: 20th March, 2020
1. Please give details of the significant eHealth innovation or system implemented by this pharmacy that has had a positive impact on patient care:

0/1000
2. Outline the need filled by this particular innovation or system:

0/1000
3. Please outline the objectives of this initiative and how you set about achieving them:

0/1000
4. Please outline how you foresee this submission may be rolled out in community pharmacy throughout the rest of Ireland:

0/1000
5. In no more than 1,000 words, please describe why you/they deserve the Innovation and Service Development (Independent) Award 2020:

0/1000
Please upload an image of your team:

Upload Image
Tip: If a large team have the tallest people at the back and have the rest of the team seated at the front. If selected as a finalist this image will be used in the IPN magazine. Please caption this image with correct names and titles from left to right. Cancelof
Please attach any additional research or information to further support your application and help the judges in their decision making process:

Browse Files

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