TVMA HERITAGE PRACTICE NOMINATION FORM

TVMA Heritage Practice Nomination Form
Each year, the TVMA Historical Committee selects 1-2 practices that have been in continuous practice for at least 50 years to be highlighted as the Heritage Practice of the Year.

Please complete this form to have a facility considered for the award. Deadline is July 31.
Practice Name
Other Names the Practice May Have Operated Under
Names of Original Veterinarians or Veterinarians who Established Practice
Names of other owners, and years they joined and left
Year Opened
Milestones - when established, ownership changes, new facility, remodeling
Facilities - what was the first facility like? Changes in location, different facilities
What was the nature of the practice when it started?
If other, explain
If the nature of the practice changed, when and how?
Who were the leaders making these changes?
How has the quality of practice changed? What advances in technology or education were influential?
Contact Person's Name
This is the person who will gather and provide information about the practice to the TVMA committee and TVMA staff for award and for a magazine article.
Contact Person's Phone #
Contact Person's Email Address
Tell us why this practice should be considered for the Heritage Practice Award
Upload Photos of the Clinic or other Important Documents
Filename
Size
Process
Status
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TVMA Heritage Practice Nomination Form