Awardee Submission Form – Specialty Society Awards for Practitioners

The Foundation has established humanism awards for healthcare practitioners, which are awarded through specialty societies. The purpose of these awards is to identify and honor practicing professionals who best demonstrate the ideals of compassionate and respectful care for a patient’s well-being.

Approved participants in this annual program should submit their awardees using this form.


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AWARDEE – PRINT NAME AS IT SHOULD APPEAR ON CERTIFICATE