Address:
10500 Little Patuxent Parkway
Suite 210
Columbia, MD 21044
Email:
programs@paltcfoundation.org
Phone: 410-992-3134
  • 1 Current: Nominee Information
  • 2 Nominee's Professional Information
  • 3 Submitter's Information
  • 4 Complete
*Required

You may nominate an individual for the 2020 Medical Director of the Year Award by completing the information requested below. To aid you in the preparation for your submission/nomination it is recommended that you contact the nominee and ask them to provide you with 12-15 specific activities that support their nomination. Activities should showcase the following characteristics of the nominee in the following areas:  team leader, clinical leader, community involvement and staff education.

Nominations are due November 11, 2019.
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