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Now accepting nominations for the 2026 Honorary Awards. The deadline to submit nominations is September 1, 2025.

Award Nominations

Select the award you would like to place a nomination for:

Nominee

Nominee Name

Nominee Position/Title

Nominee Organization

Nominee Address

Nominee City

Nominee State/Province/Region

Nominee Postal/ZIP Code

Nominee Country

Nominee Phone

Nominee Email

Brief Description of Qualifications (Describe the nominee's accomplishments, capabilities, characteristics, and dedication to patients)

Nominator

Your Name

Your Position/Title

Your Organization

Your Address

Your City

Your State/Province/Region

Your Postal/ZIP Code

Your Country

Your Phone

Your Email

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