Doctor of the Year Nominations - Aubrey Rose Foundation

NOMINATE THE Doctor of the Year

Now accepting nominations for Doctors of the Year, which will be awarded in November 2025.

Is the Doctor you are nominating a Pediatric Doctor?(Required)

Yes

All nominees must see patients who are under the age of 18.

In which state does the doctor currently see patients?(Required)

Ohio

Kentucky

Indiana

The Doctor being nominated must currently practice in the state of Ohio, Kentucky or Indiana. They can not be retired.

Doctor's name(Required)

First Last

Practice Name

Doctor's Title (Pediatrician, Cardiologist, etc)

Doctor's Office Address

Street Address Address Line 2 City ZIP Code

Doctor's Email Address

Doctor's Office Phone Number(Required)

Doctor's Office Administrator's Name

First Last

Administrator's Phone Number

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Daytime Phone (optional)

Your Email(Required)

Your Relationship to Nominee (Colleague, Patient, Relative, etc)(Required)

I verify that I am over the age of 21.(Required)

Yes, I am over 21

No, I am not over 21

What makes this person the Doctor of the Year?