Event is Thursday, October 10, 2024 at The Forest Country Club

All nominees must be US citizens and legal residents of Lee County Florida. Nominees do NOT need to be members of the Lee County Medical Society. Anybody can nominate. For Physician nominations, they must have practiced in the past or still have their practice located within Lee County.
(Please only use this for one nomination submission at a time)

Physicians Nomination selections are on page 1, NON Physician selections can be found on page 2. Only 1 SELECTION can be picked.


Question Title

* I choose to nominate a PHYSICIAN for one of the following categories:

Question Title

* To access NON PHYSICIAN categories, leave this page blank and click the NEXT button to select your category.