UAPA Award Nomination Form 2023
Please submit nominations for the awards listed below.

Please fill out one form per nomination. You can nominate someone for every award.

Please see descriptions of awards below. 

To see prior award winners and more information about the awards, please go to https://utahapa.mypanetwork.com/page/392-awards.

 Please complete the nomination by March 1, 2023.



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Award Categories
  • Eric Heaton Lifetime Service Award : This award goes to someone who has dedicated a large part of their life or career to service. It could be service to patients in the role of provider. Note: Does not necessarily need to be a PA.
  • MD of the Year: Some qualities of this award winner could be: A role model for anyone in health care. They are compassionate, caring and passionate about practicing the art of medicine.
  • Humanitarian PA of the Year: Someone who has tried to make a difference in the lives of others beyond just practicing medicine. This person demonstrates kindness and compassion impartially to without distinction in regard to gender, sexual orientation, race, geographic location, religion, or nationality.
  • Rural PA of the Year: This person possesses the qualities that you feel define PA excellence and practices in a rural setting.
  • Don Pedersen Leadership Award: This person demonstrates the ability enlist the aid and support of others in the accomplishment of a common task. This is someone who has demonstrated insight, and the ability to “think outside the box”.  This person does not necessarily need to be a PA.
Your Phone Number
Name of the Person You are Nominating
Award You are Nominating Them For
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Please write a brief paragraph about why you are nominating the person.
Provide Email for the Person You Are Nominating  (so that we can contact them if they are chosen)
Phone Number of Person You are Nominating (if known)
Submit
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