2020 OAFP Family Physician of the Year Nomination Form

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This award recognizes family physicians that have exhibited extraordinary, beyond-the-call-of-duty merit, articulated and encouraged members and students to pursue the ideals of family medicine, and conveyed these ideals to the public.

Email *

First Name *

Last Name *

Address *

Phone *

Who are you nominating? (First Last, and Designation) *

Nominee Email

Nominee Address

Nominee Phone

How does this physician provide their patients with compassionate, comprehensive, and caring family medicine on a continuing basis? *

How does this physician enhance the quality of their community? *

How does this physician act as a role model professionally and personally to their community, other health professionals, and/or residents and medical students? *

How does this physician stand out among their colleagues? *

Additional Comments

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