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The Johns Hopkins Guidelines for Branding Health Information
Use-of-Name Proposal Form
For Johns Hopkins Employees Only

Please complete all parts of this form and click Submit at the bottom of the page. The Health Information Management Group will send an e-mail confirmation that your proposal has been received and is under review.
Today's Date: Target Decision Date: (mm/dd/yyyy)
Person submitting proposal: Health Division:
JH Address: JH Phone:
JH Fax: Pager:
Email: Project Title:
Use of Brand: Professional Information   Consumer Information   Institutional Information
Other health division involvement: If yes, specify:
Other department involvement: If yes, specify:
Will the project have outside funding: Sponsor(s) name:
Brief Summary of Project:
Dept/Division/Admin Approval: By Whom:
(Separate names by comma)
I have read the Quality Control Guidelines:    
 

More detailed information may be requested following submission of this online form.