The American Medical Association Women Physicians Section (WPS) acknowledges physicians who contribute in often unsung ways to individual success. These individuals may have steered you into your specialty, helped you find work/life balance, guided you through your professional society or served as an important role model. Recipients will be: Issued a special certificate and recognized at the AMA House of Delegates meeting Celebrated during September Women in Medicine Month Acknowledged through AMA communications vehicles such as AMA Morning Rounds and the WPS website Please take a moment today to show your appreciation. Nominators must be members of the AMA. Nominations are due July 31. Contact Information Nominee Information Complete The American Medical Association Women Physicians Section (WPS) acknowledges physicians who contribute in often unsung ways to individual success. These individuals may have steered you into your specialty, helped you find work/life balance, guided you through your professional society or served as an important role model. Recipients will be: Issued a special certificate and recognized at the AMA House of Delegates meeting Celebrated during September Women in Medicine Month Acknowledged through AMA communications vehicles such as AMA Morning Rounds and the WPS website Please take a moment today to show your appreciation. Nominators must be members of the AMA. Nominations are due July 31. Name First Last Address Address Address 2 City/Town State/Province State * Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federate States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ZIP/Postal Code Phone Fax Email AMA member AMA member? * Yes No Leave this field blank
