Pharmacist Awards Nomination Form

We are now welcoming nominations for the 2017 Clanwilliam Pharmacist Awards. Nominate now your pharmacist, friend or colleague in any of the below categories.

Choose an Award Category
  • To be awarded to a pharmacist whose exceptional professional efforts have enabled community pharmacy services to be delivered in a manner more beneficial to the public.
Your details
Nominee details
Eligibility questions
Reason for Nomination

What aspect(s) of this community pharmacist’s service and efforts do you deem merit this award?

Consider which aspects of this pharmacist’s service go over and above that which might be expected as standard practice? Please describe one or two examples.

[500 word limit]

 

500 words left
Opportunity to disclose details

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