NOMINATION FORM
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Individual Category
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Fertility Practitioners of the Year
Psychotherapist of the Year
Gym Instructors/Fitness Coach of the Year
Health & Wellness Media Advocacy Initiatives of the Year
Pharmacist of the Year
Ophthalmologist of the Year
Top Three Cardiovascular Specialist of the Year
Orthopedic Specialists of the Year
Chiropractic Specialist of the Year
Midwife of the Year
Nurses of the Year
Physician Assistants of the Year
Lifetime Achievement Award of the Year
Pharma Lifetime Achievement Award of the Year
Health & Wellness PR Champion of the Year
Health & Wellness Pharma Champion of the Year
Health & Wellness Champion Diagnostic of the Year
Health & Wellness Champion Gastroenterologist of the Year
Health & Wellness Champion Emergency Physician of the Year
Health & Wellness Champion Critical Care Nurse of the Year
Health & Wellness Champion Public Health of the Year
Health & Wellness Champion Research and Development of the Year
Health & Wellness Emerging Leaders of the Year
Dentist of the Year
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Name of Awardee
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Place of Work
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Where the Awardee works.
of Location Corporate
Corporate Category
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Fertility Centers of the Year
Rehabilitation Centers of the Year
Health & Wellness Media Advocacy Initiatives of the Year
Psychotherapy Centers of the Year
Psychiatric Centers of the Year
Gym and Fitness Center of the Year
Diagnostic Centers of the Year
Private Medical Centers of the Year
Pharmaceutical Outlets of the Year
Pharmaceutical Companies of the Year
Ophthalmology Centers of the Year
Cardiovascular Centers of the Year
Orthopedic Centers of the Year
Chiropractic Centers of the Year
Occupational Health Centers of the Year
Spas and Aesthetic Centers of the Year
Public Medical Centers of the Year
Dental Centers of the Year
Health Insurance Companies of the Year
Pharma Manufacturing Company of the Year
Pharma Wholesale & Distribution Companies of the Year
Pharma Retail Companies of the Year
ENT Centers of the Year
Health and Wellness Palliative Care
Education Champion of the Year
Medical Equipment Suppliers of the Year
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Name of Institution
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Location
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