2022 HIVMA Clinical Educator Award Nomination Form
The Clinical Educator Award recognizes HIVMA members who have demonstrated significant achievement in the area of HIV clinical care and provider education. Significant achievement will be based on overall achievement and refer to contributions to the acquisition and dissemination of information on HIV disease that transcend a single institution.
Primary nominators - please complete questions 1, 2, 3, 4, 5 and 6.
Secondary nominators - please complete questions 1, 2, 3 and 8.
Nominations for the 2022 HIVMA Awards are due Monday, June 6th, 2022
Nominators and nominees must be members of HIVMA. Preference will be given to nominations that reflect a broad base of support.