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Nominate a Physician or Care Team

Please nominate someone for the 2021 Clinical Awards by submitting the form below:

Nomination Form

Fields marked with  « are required.

Nominee Information
*If possible, please include such details as how many patients, families and/or colleagues the nominee’s efforts have affected and how the nominee’s work forwards the JHM strategic priorities or the JHM mission.

You may upload supporting documentation, such as data, presentations, articles or links. What you provide should illustrate the nominee’s contributions and/or speak to the nominee’s leadership and character.

File size must be 5 MB or less. Please do not include resumes or curriculum vitae.

Submitter information
Fields marked with  « are required.
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