IMPACT AWARD NOMINATIONS
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Email *
NOMINEE NAME *
I.M.P.A.C.T. Categories
IMPACT stands for Integrative Medicine Practitioners Actualizing Change Today, and there are many productive ways we as practitioners can make an impact in our professional and civic communities. Therefore, we have designated five domains of change whereby we wish to recognize those in our midst doing great work.
 
Citizenship IMPACT
Nominate a practitioner who goes above and beyond in their community! Let us know about outstanding community service performed in service to underserved populations in the Carolinas.

Innovation IMPACT
Nominate a North Carolina-based researcher who has made noteworthy advances in their field and let us know how their work has made an impact on your practice of functional/integrative medicine and overall.

Social IMPACT
Who do you follow online to stay inspired and in the know? Nominate a practitioner of functional/integrative medicine who has done the most on social media to establish a strong presence and positive perception of our discipline, educating the public and/or professionals across the internet.

Practical IMPACT
Nominate a MEMBER practitioner who has demonstrated their commitment to the practice of functional medicine, and is an excellent representative and mentor of our profession. Nominee must have been in practice of functional/integrative medicine for over five years.

Future IMPACT
Nominate a MEMBER practitioner with fewer than 5 years of practice in functional/integrative medicine who we should celebrate as a rising star! Describe your nominee's approach to the field and what makes them unique.
Nominee Phone Number *
For which award is your nominee being nominated? *
What makes this individual an outstanding candidate for this award? *
Additional Comments?
Thank You for nominating an amazing fellow practitioner of functional/integrative medicine for their efforts! 
A copy of your responses will be emailed to the address you provided.
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