2026 Women’s Health Leadership TRUST Forum Awards Nomination Form: Ally in Healthcare

Nomination Process

Award recipients are nominated by peers who can attest to the nominee’s attributes for the recommended award. Please return all completed nominations by January 16, 2026.

Ally in Healthcare

Honoring partners beyond traditional healthcare who have made meaningful contributions to the wellbeing of patients, providers, and communities.

This award recognizes partners across business, technology, education, government, nonprofit, and community sectors who make meaningful, measurable contributions to the wellbeing of patients, healthcare providers, and communities. Through advocacy, innovation, collaboration, and resource support, these allies bridge gaps in care, address systemic barriers, and strengthen the broader health ecosystem–demonstrating the power of cross-sector partnership to advance health, resilience, and sustainable impact.

Nominator Information

Name

First Last

Title

Organization

Phone

Relationship to the Nominee

Award Nominee Information

Name

First Last

Title

Organization

Phone

Link to bio or LinkedIn Profile

Contribution & Role: Describe the nominee’s role and contribution to advancing health care, patient wellbeing, provider support, or community health—despite not serving in a traditional health care role.

How has the nominee applied their expertise, influence, or resources to address meaningful health-related challenges?

Partnership & Collaboration: How has the nominee built and sustained effective partnerships with health care organizations, professionals, or communities?

Describe how these collaborations advanced shared health goals, strengthened systems, or enabled outcomes that would not have been possible independently.

Impact & Outcomes: Describe the nominee’s impact on patients, providers, or communities.

Include specific examples of advocacy, innovation, service, or systemic change, and highlight the scope, sustainability, or measurable outcomes of this impact where possible.

Differentiation, Values & Leadership as an Ally: What distinguishes this nominee as an exceptional ally in healthcare?

Describe how they demonstrate integrity, inclusivity, and a commitment to health equity and wellbeing, and explain why their approach or contributions stand out among peers.