CAFP Family Physician of the Year Award Nomination Form

The California Academy of Family Physicians annually honors a family physician who represents the finest characteristics of the specialty.

Nominees for the Family Physician of the Year should:

Must be a licensed, board-certified family physician;
Must be a current member of CAFP;
Has contributed or made significant impact to family medicine (with emphasis on contributions in the last three years) including, but not limited to: clinical care, leadership, advocacy, innovation, education, impact on community, underserved, service, hospital work, global health; and
Embodies the finest characteristics of family medicine.

Please submit this form and materials no later than June 15, 2026 for the 2026 award nomination. The 2026 Family Physician of the Year will be recognized at the 2026 Family Medicine POP! event in San Diego.

Candidate's Contact Information

First Name

Last Name

Address (City, State, Zip)

Phone

Nomination Information

Briefly describe how the physician exhibits the following criteria.

CAFP Engagement: In a few sentences, please describe how the nominee is engaged with CAFP and/or its local chapters? (Please include any current or previous work as a committee member, faculty, board member, etc.) *

In a few sentences, briefly describe how this nominee has contributed or made significant impact to family medicine (with emphasis on contributions in the last three years) including, but not limited to: clinical care, leadership, advocacy, innovation, education, impact on community, underserved, service, hospital work, global health.

In a few sentences, briefly describe how this nominee is a credible role model professionally and/or personally … to their community, colleagues, other health professionals, or FM residents and medical students. Please include any specific contributions to the medical community and family medicine specialty.

In a few sentences, briefly describe how this nominee embodies the finest characteristics of family medicine.

Please upload a photo of the candidate.

Please upload at least 1 Letter of Support as a Word document or PDF (consider letters from students, colleagues, members of the community and/or others directly involved in the nominee’s endeavors):

Please upload Candidate's CV as a Word document or PDF

Submit

Terms & Information: (Please check the box that you have read through the process information and agree.)

Yes, I agree.

CAFP’s Staff will submit nominee packets to the Membership Engagement Committee for review and selection. The California Family Physician of the Year may be asked to serve as a representative to the media, to write articles for California Family Physician, speak to student and resident groups and local chapters, or present a scientific lecture at the Family Medicine POP. CAFP’s Family Physician of the Year may also be nominated for the AAFP Family Physician of the Year award.

Process information:

Individuals may nominate themselves or another individual for the CAFP Family Physician of the Year award.
Nominees must be current members of AAFP and CAFP.
Nominators will receive notification of nomination delivery, and may be contacted for any necessary follow-up.
Nominees will receive notification of nomination.
Nominators and nominees will receive notification of award selection decision prior to public release.
The selected Family Physician of the Year will be featured in an issue of the California Family Physician magazine and recognized at an in-person CAFP event. (For 2026, the FP of the Year will be recognized at the 2026 POP event on August 21-23, 2026. For more information on POP, visit www.familydocs.org/pop.)

Name of Person Submitting Nomination:

Email of Person Submitting Nomination

Contact Information