Nomination form


To have your nomination considered please ensure that you fully complete this form. We recommend you review the questions asked below first and then draft your answers in a word document which you can then copy and paste into the text boxes.


Contact details for nominee
Salutation
First Name
Last Name
Name of Clinic/Organisation/Institution/Company (if relevant)
Phone number
Email address
Are they an iO member?
About the activity
1. Provide a brief summary about the innovative activity that you have applied.
Your answer (maximum 500 words)
2. Provide more details about the activity.
Below are a series of questions to provide more detail about the activity. You need only complete those which are relevant to your nominated activity.
Answering multiple questions does not in itself lead to a stronger application. The activity will be measured on its individual merits for innovation in a specific area.
a) Does this activity provide new ways to provide exceptional patient care? If yes, please tell us more.
b) Does the activity support the collaboration of osteopaths with other healthcare practitioners, businesses or others to improve patient care and/or accessibility to osteopathy? If yes, please tell us more.
c) Does the activity introduce new ways of working, or different business models not normally seen in osteopathy? If yes, please tell us more.
d) Does the activity increase public awareness and promote the role of osteopathic care in improving health? If yes, please tell us more.
e) Does the activity promote best practice in developing evidence-informed osteopathic practice or clinical outcome reporting? If yes, please tell us more.
3. Are there any other aspects which you wish to share that demonstrate the effectiveness and value of this new approach?
Your answer (maximum 500 words)
Your contact details
If you are self-nominating please skip this section.
Salutation
First Name
Last Name
Are you an iO member?
Email address
Phone number





If you have any questions or experience any difficulties with the form please contact the Communications team via email at comms@iOsteopathy.org

How this data will be used:

  1. The information provided will be for exclusive use by the Institute of Osteopathy (iO).
  2. Any information provided may be used by the iO in its print and online publicity materials for this award.
  3. The iO will not share the data submitted with any third parties.
  4. The iO will hold this data securely.
  5. For more details of the iO's privacy policy click here.