2025 IMS Merit Award

This award is given to an IMS member physician who has served the IMS and the medical profession with distinction.

Please submit nominations by January 26, 2025.

The survey will take approximately 5 minutes to complete. If you would like to send additional material, please email the information to gfleming@iowamedical.org by the deadline.

Fields marked with an * are required.

Name of Nominee *

Nominee Email or Phone Number *

Nominee Specialty *

Why should this person be considered for the award? Check all that apply. *

Demonstrated a significant contribution to the success of the medical profession

Demonstrated outstanding innovation

Recognized as an outstanding advocate for the team

Considered by colleagues to be an excellent role model

Demonstrated ability to work effectively with a team

Other reasons for consideration:

Please provide examples or supporting information about this nomination

Nominator Name *

Nominator Email or Phone Number *

If requested by the nominee, can we share this information with them? *

Yes

Please verify that you have checked the “I'm not a robot” checkbox.