LPG Physician, Psychologist and Advanced Provider (APP) Recognition Nomination Form

Thank you for nominating a Lee Physician Group (LPG) Physician, Psychologist or Advanced Provider for the prestigious LPG Physician, Psychologist and Advanced Provider Recognition Award!

  • Finalists among the nominees will be honored at both quarterly and annual LPG events. Nominated Physicians, Psychologists and APPs will exemplify qualities such as professionalism, patient-centered care, servant leadership, compassion, empathy, innovation, creativity, exemplary quality and safety, team collaboration, community service, and a commitment to mentoring and educational excellence, as well as other attributes that align with our Exceptional Lee Promise.
  • Nominations are accepted year-round and are open to all LPG Physicians, Psychologists and APPs, both clinical and non-clinical. The committee will assign recognition categories to nominees based on the details and reasons you provide in your nomination. After reviewing your nominations, award finalists will be selected.

Your efforts to recognize and appreciate our LPG Physicians, Psychologists and APPs will help highlight outstanding individuals and promote the exceptional culture of quality, care, and compassion that we aim to have our patients associate with Lee Health!
Nominator (Person submitting the nomination)
1.Name:(Required.)
2.Contact Email:(Required.)
Physician, Psychologist or Advanced Provider Nominee
3.Name(Required.)
4.MD/DO, APRN/PA Title:
5.Specialty (if known):
6.Reason for nomination (i.e. patient care, physician character, event/interactions) - up to 1000 characters for description(Required.)