Minnesota Family Physician of the Year

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The MAFP seeks nominations from the public, clinic administrators and family medicine colleagues for this annual award.

To be eligible, the nominee must be an Active member of the MAFP, although involvement in the MAFP is not required.

Nominations for 2020 will be accepted through Friday, December 6, 2019.


Nomination
Family Doc's Name *
What is the name of the clinic where they practice? *
Whom do they see as a patient? (check all that apply) *	Me My Spouse or Significant Other My Children My Friends or Acquaintances None (nominee is employee or colleague)
Caring - How has this individual demonstrated compassion? *
Medical Service - Describe the quality of care you receive from this individual. *
Community - How does this individual make a difference beyond their practice? *

Nominator’s Information
Your Name *
Your Email Address *
Your Phone Number
Do you prefer that your nomination be anonymous? *	Yes No

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