Webster Sewell, M.D. Access to Care Award - Montgomery County Medical Society

Working for a Non-Profit Committed to Increasing Access to Care?

Consideration for the award will be given to individual(s) or organization(s), either nonprofit or for-profit, with an ongoing mission to provide greater access to care and/or which have proven programs and initiatives which enhanced access to health care within our communities within the last few years.
Individuals and/or organizations applying or being nominated for consideration must have served residents and/or have a connection to Montgomery County, however are not required to be based in Montgomery County, Maryland.
Consideration will be given to all individuals and organizations (not only health care organizations) which have a demonstrated track record of enhancing access to health care.
A completed application-nomination form is required for consideration.
Applications/nominations may be submitted by the individual(s) or organizations themselves or submitted by others on their behalf.
One award will be given annually. A $500 donation will accompany the award to further the mission or initiatives to enhance access to healthcare.
To be considered, completed forms and supporting materials must be submitted by the deadline of April 1, 2024.
Notification of the award will be given no later than April 15, 2025. It is anticipated that the award will be presented at an in-person meeting in early May 2025.
Questions? Contact MCMS at 301-921-4300 or sdantoni@montgomerymedicine.org

Contact Name*
First Last Designation(s)
Contact Email*
Contact Phone*
Tax I.D. Number
Name of Individual(s)/Organization Applying/Nominated
(if different from above)
Address of the Applicant’s/Nominee’s Individual(s)/Organization
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Website of the Applicant’s/Nominee’s Individual(s)/Organization

(if applicable)
Total Budget Allocated to Enhancing Care
Are the services which enhance access to care primarily provided by funding from
- In-kind donation of time/resources
- Individual Donations
- Corporate Donations
- Grants
Number of Patients/Clients Impacted by Initiatives
Description of the Mission, Program or Initiative, including demographics of the population served, timeframe of the initiative/program and how the effort was connected to Montgomery County, Maryland*
Description of how the mission, program or initiative made a difference in the lives of the people it served*
Additional Information to Assist in the Review of the Application
Optional - Attach Documents to Assist in the Review of the Application
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