2025 RCMA Annual Outstanding Contribution Awards Survey

1.This nomination is being submitted by: Please type your name in the box below.(Required.)

2.Please enter your e-mail address in the box below:

3.Please enter your phone number in the box below:

4.First and Last name of Candidate: *must be a RCMA member to be nominated, except for the Community Award.(Required.)

5.Please indicate which category you are nominating the Candidate for. You may choose more than one.

Outstanding Contribution to Organized Medicine: Presented to a RCMA member who through his/her constant support and perpetual service has advanced and achieved the goals of organized medicine.

Outstanding Contribution to Medicine: Presented to a RCMA member who has displayed dedication to the advancement and improvement of the medical profession through his/her tireless efforts, innovative ideas. and commitment to excellence.

Outstanding Contribution to the Medical Association and its Goals: Presented to a RCMA member who has exhibited long-standing dedication and service to the RCMA over and above that expected by a member-at-large.

Outstanding Contribution to the Community: Presented to a physician or lay person who has exhibited sustained interest and participation in one or more medicine-related activities which has benefited the members of his/her community.

6.Please give a brief biographical statement about the Candidate.

7.Please tell us why you are nominating this Candidate:

8.Please add anything that you would like us to know. If you have documents that you would like to submit as part of the nomination please email them to: dbonanno@rcmadocs.org