Honor a Family Medicine Hero
Use the form below to share a message with us about an outstanding Family Medicine physician, resident, or student. The WAFP- Foundation will send an appreciation gram on your behalf.
Honoree Name:
*
First Name
Last Name
Credentials (MD, DO, PhD, etc)
Personalized Message
*
Would you like your message to be anonymous?
*
Yes
No
Nominator Name
*
First Name
Last Name
Email
*
example@example.com
Give Back While Paying it Forward
Along with sending an appreciation gram, consider doubling your impact by making a contribution to the WAFP- Foundation. In appreciation, the WAFP- Foundation will inform the honoree that a donation has been made on their behalf.
Select an amount
$10
$25
$50
$100
Other
I agree to contribute
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( X )
USD
Credit Card
Thank you! The WAFP- Foundation is a 501(c)(3) recognized charity and your donation is tax-deductible as allowable by the IRS.
Submit
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