Clone of 2026 Georgia Family Medicine Educator of the Year

2026 Georgia Academy of Family Physicians - Family Physician of the Year Nomination Form
Family Physician of the Year Criteria

Candidates for this Award will be those members who have been leaders in professional affairs, along wtih making outstanding contributions to the profession or the community.

Candidates will be evaluated on the following:
1. Member of the GAFP in good standing, holding membership at least 10 years prior to the year of selection;
2. Completed nomination form;
3. Current Curriculum Vitae submitted by the nominator
4. Must be in good standing in his/her medical community
5. Provides his/her community with compassionate, comprehensive and caring medical service on a continuing basis
6. Is directly and effectively involved in community affairs and activities that enhance the quality of life of his/her home area
7. Provides a credibe role model as a healer and human being to his/her community, and as a professional in the science and art of medicine to colleagues, other health professionals and especially, to young physicians in training and to medical students.
Mechanisms of Selection:

Nominations may come from any member, any medical society, community organization or self. Nominations must be made by Friday, May 15th.

Presentation:

This award is to be presented during the GAFP Annual Scientific Assembly when similar awards are presented.
Nominee*

First NameLast NameSuffix
Email*
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

2026 Georgia Academy of Family Physicians - Family Physician of the Year Nomination Form

Family Physician of the Year Criteria