2026 UAFP Family Medicine Physician of the Year Nomination Form

Nominate a deserving colleague for the UAFP Family Medicine Physician of the Year!

The Family Physician of the Year Award recognizes a physician who provides their patients with compassionate, comprehensive and caring family medicine on a continuing basis.

This physician is directly and effectively involved in community affairs and activities that enhance the quality of their community.

They provide a credible role model, both professionally and personally, to their community, to other health professionals, and to residents and medical students.

This chosen physician effectively represents UAFP and the specialty of Family Medicine by presenting a good public image and exemplifying the family physician’s leadership role in improving the health of our state.

To complete this nomination, please either:

1. Answer the questions below directly in this form, or
2. Upload one to two (1-2) letter(s) of nomination that address the same points. Letters may be written by an individual or a committee/group.

Whichever format you choose, please be sure to address the nominee's:

Current practice location
Accomplishments and activities
Exceptional qualities that position them as a leader among family physicians
Impact to patients, community, and/or the specialty of family medicine

Criteria on which nominees will be considered include the following:

Patient Care
Excellence in the Profession of Family Medicine
Practice Leadership
Community Service and Contributions
Scholarly Activity
Advocacy
Experience and Career Accomplishments
Commitment to the principles of equity, diversity, inclusion, and belonging

Nominations for the 2026 award are due by August 15, 2026. The winner will be recognized at the UAFP Annual Meeting and Awards Dinner on Thursday, September 24.

Nominations not selected for the current year will be considered again for the following two nomination cycles.

*Please note, nominees must be current active members of UAFP. Please contact us if you need us to check the membership status of your nominee*

Question 1 - Describe how this physician demonstrates compassionate, comprehensive patient care and excellence in the practice of family medicine. Please include specific examples that illustrate their impact on patients and their role as a trusted, ongoing presence in patients' lives.

Question 2 - In what ways has this physician served as a leader and role model whether through community service, advocacy, mentorship of students/residents, scholarly work, or commitment to equity and inclusion? Please describe how their contributions have strengthened their community, their patients' health, or the specialty of family medicine.

Question 3 - Please share a specific story, moment, or example that best captures why this physician stands out as a leader in family medicine. What makes this example memorable, and what does it reveal about the qualities that make them deserving of this award?

Your Name

First NameLast Name

Your Email

example@example.com

Your Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Name of Nominee

First NameLast Name

Nominee's Email

example@example.com

Nominee's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Upload 1st Letter of Nomination (optional)

Upload 2nd Letter of Nomination (optional)