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2022 AAPM&R Awards Nomination Form

Each year, AAPM&R honors pioneering physiatrists, clinicians, researchers, and public servants who have made significant contributions to both the specialty and to individuals with disabilities and vulnerable populations at risk for disabilities.

Recognition is only possible with your nominations! Please provide as much information about your candidate as possible - the Awards Committee relies on and appreciates robust statements of support. 
1. Nominator Information *This question is required.
2. Nominee Information (name of person you are nominating) *This question is required.
3. For which award would you like your nominee to be considered? *This question is required.
4. Although not required, you may provide additional information in support of your nominee (i.e. CV, articles, etc.).