OEPF Emerging Behavioral Vision Therapy Practice Award

OEPF Emerging Behavioral Vision Therapy Practice Award
Nominee Information:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
OEPF Alumni
OEPF Certification
Nominator Information:
Name

First NameLast Name
Relationship to Nominee (Colleague, Mentor, Patient)
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Award Category: OEPF Emerging Behavioral Vision Therapy Practice Award

All nominations must be submitted electronically by June 30, 2024.
Professional Achievement:
Briefly describe how the nominee has established their vision therapy practice:
Describe the nominee's active role and contributions to an existing vision therapy practice:
Dedication to Behavioral Vision Therapy:
Provide specific examples of the nominee's commitment to behavioral vision therapy principles in their practice:
Patient Impact:
Upload any documentation (e.g., testimonials, case studies) showcasing the positive impact of the nominee's work on patient outcomes using behavioral vision therapy techniques.

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Connection to OEPF:
Describe the nominee's involvement with OEPF (e.g., participation in events, contributions to research, mentoring other OEPF members):
Recommendation Letters:
Optional upload recommendations (from colleagues, mentors, or patients) that highlight the nominee's qualifications and achievements (especially relevant to the chosen award category):

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Additional Notes:
Add any additional information not covered in the sections above:
Should be Empty:

Nominee Information:

Nominator Information:

Connection to OEPF:

Recommendation Letters:

Additional Notes: