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 *AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Fax Email AMA member AMA member? * Yes No Leave this field blank
