*Please note that all Marketing requests must be approved by your Director before we can move forward* Marketing Request Form Name(Required) First Last Email(Required) Department/Location(Required)Director(Required)Reminder, requests must be made with your directors approval. Christin Crosby, CFOBritt Gondrezick, Director of Human ResourcesCarli Taylor-Drake, Director of Marketing & Practice DevelopmentChad Smidt, Director of Sports Medicine OutreachChristy Struckhoff, Director of Clinical OperationsDanielle Haddon, Administrator & Director of NursingGrey Rudolph, Director of TherapyJalon Burkett, Administrator & Director of NursingJeff Junker, Director of ITJacob Tramp-Johnson, Director of Revenue Cycle & Payer RelationsJesse Struckhoff, Director of Property Management ServicesSean McCauley, Purchasing ManagerKaren Hoffman, Director of Central ServicesKathi Mueller, Director of Imaging OperationsLisa Lear, Director of Clinic Operations, LongmontSarah Larsen, Administrator & Director of Nursing, LovelandDetailed Request (Including What It Is Used For)(Required)Approximate Expenses:Timeline/ Need By: MM slash DD slash YYYY Δ