Lori J. Howell Award Nomination Form

Candidate Name *

Please upload the candidate's CV. *

Years employed at current NAFTNet center: *

Nominating Center *

Nominating Physician(s) *

Please describe the candidate’s significant contributions to fetal nursing, ensuring the response addresses all four categories. Be as specific as possible and use examples when applicable: 1. Excellence in Patient Care 2. Access to Care 3. Innovation 4. Commitment to Nursing *
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Is there anything else you'd like us to know about this candidate?
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