2019 Outstanding Medical Consultant Award Nomination

Any member or non-member colleague may submit this recommendation.  

 

Criteria for selection

  1. Individual must be a Voting Member of the Academy in good standing and a Certified FertilityCare (FC) Medical Consultant.
  2. Must have a current medical practice that is FC only and includes a substantial component of providing services in Natural Procreative Technology to patients using an accredited model of FertilityCare.
  3. The individual has made an outstanding contribution to FC through service, education and/or research.

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Name of nominee*

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Reason for nomination*

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Please select the applicable criteria that the nominee meets:

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Your name*

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Your email*

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Your phone number*

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Your address*
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