PUBLIC ART & HEALTH - INSTALLATION RECORD Required Artist: Title of work (or "untitled"): Institution (hospital or health facility): City and country: Year installed (or "not known"): Setting (indoor / outdoor, and where on site): Form and material: Photograph: attach one image, with the photographer's name and confirmation that it may be published on publicart.health Optional (write "not published" or "not known" where it applies) Dimensions: How the work was commissioned or acquired: Consultation with patients, staff or the community: Any evaluation of the work: Public sources (web pages, articles, catalogues): Your name, role and organisation: