Get Addiction Physician Of The Year Nomination Form - Oasas - New ... - Oasas Ny

This guide provides a clear and supportive approach to filling out the Addiction Physician Of The Year Nomination Form. By following these steps, you will ensure a thorough and accurate submission for your candidate.

Follow the steps to successfully complete the nomination form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the candidate's information including their name, employer, home address, and telephone number. Ensure that all details are accurate and up-to-date.
3. Select the award for which the candidate is being nominated by checking the appropriate box: Addiction Nurse of the Year or Addiction Physician of the Year.
4. In the section concerning the candidate's outstanding professional attributes, provide detailed descriptions of what distinguishes the candidate in their delivery of alcoholism and substance abuse services.
5. Outline the specific contributions the candidate has made to enhance patient care, including improvements in program and patient outcomes.
6. Give concrete examples of how the nominee has contributed to the professional knowledge within the alcoholism and substance abuse field.
7. Detail the candidate's volunteer efforts in the community, making sure to exclude any reference to Mutual Aid, as required.
8. Complete the nominator information section with your name, telephone number, e-mail, relationship to the candidate, and home address.
9. Provide a signature if required, although signatures are not mandatory for electronic submissions.
10. Save your changes, then download, print, or share the completed form if needed. Make sure to submit the nomination via e-mail to credentialing@oasas.state.ny.us by the specified deadline.

Complete and submit your nomination form online today to recognize an exceptional addiction physician.