Young at Heart Award Nomination

Young at Heart Award Nomination
In 1992, the Texas Medical Association Young Physician Section (YPS) created the Young at Heart Award to recognize a TMA physician member or group of TMA physician members who have provided exceptional guidance and support to the Section or to young physicians in general.

Nominations will be accepted from YPS members only. Please submit all nominations by February 15.

The YPS Executive Council will select the award recipient and the award will be presented during the section meeting at TexMed and the honoree will be recognized from the dais during the HOD general session meeting.
NOMINEE INFORMATION
Name*

First NameLast Name
Organization/Practice*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Please explain your reasons for nominating this person for the YPS Young at Heart Award. Note: Comments may be used and attributed in related press release or other publicity materials.*

Limited to 125 words or less0/125
Nominator Name*

First NameLast Name
Nominator Email*
example@example.com
Should be Empty: