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Exceptional Medicine Submission Checklist
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 Exceptional Medicine Submission Checklist  Exceptional Medicine Submission Checklist

Please include this checklist with your email submission to the Exceptional Medicine physicians journal, or send by mail to: Southwest Washington Medical Center, Marketing Department, ATTN: Exceptional Medicine Journal, PO Box 1600, Vancouver, WA 98668. If you have any questions, feel free to send email or call 360.514.3066.

Why do we ask these questions?
* Indicates required information
Contributor's First Name * 
Contributor's Last Name * 
Contributor's Credentials (MD, PhD, director, etc.) 
Location (clinic, facility, department, etc.) * 
Street Address 1 * 
Street Address 2 
City * 
State * 
ZIP * 
Email Address * 
Telephone * 
Article Title * 
Word Count (3000 words max preferred) * 
Abstract (250 words max preferred) 
Additional Contributors * 

Additional Contributors' Contact Information 
First Time Publication * 


Copyright Release Information (if previously published): Provide name and date of publication. 
Tables and Graphics * 

Summary List of References * 

Artwork * 

Patients, Volunteers or Other Individuals * 

Other Comments about This Submission 
I verify that this is my original work and that all of the above requirements are included with this submission. * 

Authentication * 

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