Mridha International Physician Volunteer Award

Submit Your Award Nominations by March 15

To celebrate and inspire volunteerism, a prestigious annual award has been established through the MSMS Foundation. The "Mridha International Physician Volunteer Award," established by Debasish Mridha, MD, a Saginaw County neurologist, and his family, will recognize and support one outstanding physician member of MSMS each year who provides volunteer medical care and/or counsel outside of the US. The deadline for nominations is March 15, 2017.

For more information, contact Carrie Wheeler at MSMS at 517-336-5723 or cwheeler@msms.org.

Additional Resources

Click here to download the Nomination Form

Physician Volunteer Nomination Form

Nominee Name

Specialty

Nominee Address

Address

City

State

ZIP Code

Phone

Fax

How has this person improved patient care or health care delivery as an international volunteer? Please describe the nominee's volunteer activities including locations, goals for the activities, and outcomes.

How has this person contributed to the medical profession?

Awards/Fellowships/Volunteer Projects. Please describe plans to continue volunteer activity, and/or follow-up, recruitment or support of other volunteers:

Nominated by:

Name

Phone

Additional Infomation: