Tow Awardee Check Form

Congratulations again on being honored with the Tow Humanism in Medicine Award!

As a Tow honoree, you should receive a frameable certificate from your institution, and you are eligible to receive an award payment of up to $500. In order to receive the award payment, you must complete the online form below. To receive payment, your request must be submitted no later than August 31, 2024.

Gold Member Portal: You will receive an email with your login information to access the Gold Member Portal, an online platform to search, connect, and engage with other GHHS members. Access the Portal. If you have questions about the Portal, contact Stacy Morris at smorris@gold-foundation.org

Provide the best mailing address below to receive the award check. Please allow up to 90 days for processing. If you anticipate having a change of address during that period, consider providing an alternate address or alert us.

Complete all fields accurately to avoid delays in the processing of your award check.