Work Life Program Business Application - Blessing Health System

Please submit your product, service or program for consideration in the Blessing Health System Work Life Services Program.

All discounts offered will apply to all Blessing Health System employees which includes:

Blessing Corporate Services
Blessing Foundation
Blessing Hospital
Blessing-Rieman College of Nursing
Denman Services, Inc.
- Adaptive Mobility Service
- Denman Biomedical Service
- Denman Linen
- Denman Medical
- Hannibal Medical Supplies
- Illini Health Services/IHS Pharmacy
- Macomb Medical
Illini Community Hospital

* Business Name:

* Contact Person:

* Address:

* City:

* State:

* Zip Code:

* Phone:

* Email:

* Product, Service, Program to be offered:

* Is the business registered, credentialed, licensed, bonded, or insured?
YesNo

* Please clarify by what organization, accrediting body, or standard:

* What is the benefit to Blessing Health System employees?

* Are you offering a discount/special service to Blessing Health System employees?
YesNo

* This is what we will offer to Blessing Health System employees, over and above what we offer to the public (amount/type of discount):

By clicking submit, you are electronically "signing" your application for the Blessing Health System Work Life Services Program.

SUBMIT