2026 IPS Award Nomination Submission Form

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2026 Award Nomination Submission Form

Deadline August 1, 2026!

Please complete the below form to nominate either yourself or someone else for an IPS award during the 2026 year.

* Your Name:

0/50

* Your contact information (email and phone):

0/250

* Award Title for this Nomination:

Member of the Year

Resident/Fellow Member of the Year

Medical Student Member of the Year

Excellence in Patient Care

Excellence in Community Service

Educator/Mentor of the Year

Outstanding Achievement in Scholarly Activities

Outstanding Achievement in Advocacy Activities

Commitment to Physician Wellness

Excellence in Innovative Care

Other

0/250

* Nominee's Name (Or Group Name):

0/250

* Nominee's Contact Information (email address required.)

0/250

* Description of why you believe this person or group should receive this award.

0/500

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