WisMed Member Spotlight

WisMed Member Spotlight
Wisconsin physicians do amazing things for their patients, profession and communities.

Nominate yourself or a WisMed Member colleague to be featured via our social media channels!
Your Name*

First NameLast NameTitle
Your Email*
example@example.com
I am nominating:*

MyselfA colleague
Nominee's Name*

First NameLast NameSuffix
Nominee's Email*
example@example.com
Nominee's Clinic*
Your Clinic*
Tell us about the great work this Wisconsin Medical Society Member is doing.*
Please upload a headshot and/or photo(s) of the nominee's work.

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The Wisconsin Medical Society may share my story and photo(s) via social media, newsletter, email or website.*

YesNo
Should be Empty: