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2026 FAFP Art of Medicine Nomination Form

The FAFP Art of Medicine award was created in RECOGNITION OF A FAMILY PHYSICIAN WHO HAS, BY PERSONAL EXAMPLE, DEDICATED THEIR ENTIRE CAREER TO PATIENTS AND THE PROFESSION OF FAMILY MEDICINE IN SUCH A WAY THAT THE SCIENCE OF MEDICINE IS PRACTICED AS AN ART.

All nominations must include the following information to be eligible for consideration:
  • A completed nomination form via this application
  • Current Curriculum Vitae (attached below)
  • A minimum of 250 and a maximum of 500 word letter of support.
The application and supporting documents (as noted above) must be sent together in this application and received at FAFP no later than August 7, 2026. Questions, please contact Deborah Walker at dwalker@fapf.org or (904) 726-0944.
1.Name of individual completing application (include email address):(Required.)
2.Physician Nominee Name:(Required.)
3.Physician AAFP/FAFP Member ID:(Required.)
4.Is the nominee aware of the award submission?(Required.)
5.If the above nominee is accepted for the award, would they wish to have their name submitted to the AAFP for like award in the coming year?

*Please note that they would be required to submit additional supporting documentation to meet the AAFP's eligibility requirements.(Required.)
6.Physician Home Address (include address, city, state and zip code):(Required.)
7.Physician Home Phone Number:(Required.)
8.Physician Office Address (include address, city, state and zip code):(Required.)
9.Physician Office Phone Number:(Required.)
10.Physician Email address:(Required.)
11.Please upload a copy of the physician's CV for review (limited to 3 pages):(Required.)
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12.Please upload copies of supporting documentation (250-500 word letter of support or electronic recommendation supporting the candidate's qualifications based upon the eligibility requirements).(Required.)
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