UCA Quality and Safety Award
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Quality and Safety Award


Recognizes an individual, organization or exhibitor for significant efforts that focus on improved quality and safety in the field of urgent care medicine.

Before completing this form, please ensure that the nominee meets the following criteria:

  • Nominee must be a UCA Member
  • Nominee's services must have positively impacted their community
  • Nominee must verify/provide proof of acts of service
  • Nominee cannot be a current member of the UCA Awards Committee nor Board of Directors
  • An individual may not nominate themselves


  • All required fields are marked with a red asterisk (*)
  • Any field name that is underlined has additional instructions/details. Position your cursor over the underlined questions to view details.   
  • Please do not nominate one person for multiple categories. The Awards Committee can determine if the nominee is eligible for more than one award. 
  • Deadline to Nominate: December 15, 2018
  • If you have questions, please send an email to nshah@ucaoa.org

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