2022 Advocacy Award Nomination Form
The IAFP is extending the deadline to receive nominations for our Advocacy Award for a Family Physician who is an excellent advocate for other physicians and patients in Idaho.

Do you know a Family Physician that:
Has taken on a policy change in an institution to help other physicians and/or patients?
Has developed a program or area of focus to help address community and patient needs?
Models leadership as a Family Physician in ways that support other physicians and patients?
Is an exceptional patient advocate?

Please use the form below to submit your nomination for the Advocacy Award winner by December 31, 2021. The award recipient will be announced in early 2022 and presented during an award ceremony at the IAFP Annual Conference, May 6-7, 2022. You may also send a full letter of recommendation, in addition to this form, to Liz@idahoafp.org.


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Email *
What is your name?
Who is your nominee for the 2022 Advocacy Award? Please provide your nominees full name.
Where does your nominee practice?
Why are you nominating this physician for the IAFP 2022 Advocacy Award? (Please provide at least 300 words as your explanation)
Please provide an email address for your nominee.
Is there anything else you would like us to know about your nominee?
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