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Bloom

Bloom

Bloom Awards Nomination Form

  • The Bloom Awards recognize industry leaders who exemplify excellence and truly embody a commitment to leadership, mentoring and professional practice.

    • Provide up-to-date contact information of the nominee for the category you choose

    • Add ALL nominee/nominator information in order to contact you and the nominee

    • Read ALL category sections carefully 

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    The following categories are ONLY for nominating Service Providers (Please do not add individuals)

    • Rehabilitation Specialty Provider Award

    • Superior Urgent Care and Occupational Medicine Award

    • Service Provider Of The Year Award

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    The following category is ONLY for nominating podcasts (Please do not add individuals)

    • Podcast Of The Year Award

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    The following category is ONLY for nominating TPAs (Please do not add individuals)

    • TPA Of The Year Award

Nominee Information:

If you're nominating an individual, please enter "N/A" in 'Company (Service Provider), TPA, or Podcast Nominee' box.


If you're nominating a company (service provider), TPA, or podcast, please enter "N/A" in first and last name boxes.

Award Category

Nominator Information:

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