• Nominate someone for a UAOMS-sponsored procedure

    NOTE: ALL NOMINATIONS HAVE BEEN RECEIVED AND CANDIDATES SELECTED AS OF OCTOBER 1, 2010. THANKS FOR YOUR INTEREST!

    As a way to highlight the procedures done by oral and maxillofacial surgeons, in 2010 UAOMS will sponsor one person to have their wisdom teeth removed and one person to receive dental implants. Doctors who are members of UAOMS will donate the necessary time and materials, so there will be no cost for the individual, and UAOMS will chronicle the experience.

    Do you or someone you know need their wisdom teeth removed? Are you, or is someone you know, interested in receiving dental implants?

    Submit your nomination through this online form:

    Your name

    Your phone number

    Your email

    Your address

    Name of person you are nominating

    Phone number of person you are nominating

    Which procedure are you nominating this person for?
     Wisdom Teeth Removal Dental Implants

    In a brief paragraph or two, please tell us why you're nominating this person to be sponsored for one of these procedures:

    Please submit a picture of the person you are nominating (6MB max)

    Upon clicking the submit button above, your nomination will be submitted to UAOMS. By doing so you agree to abide to by the uaoms.org Terms of Use and Privacy Policy. All information submitted will be kept strictly confidential and will not be shared with the public unless and until an explicit waiver is signed by a chosen nominee. Submission of a nomination does not create a doctor-patient relationship in any way. You or the nominee may be contacted by UAOMS for more information. Some nominees may be ineligible due to a remarkable medical history, allergies, current medications or other complicating factors. The information submitted will be handled in compliance with the Health Insurance Portability Act (HIPA) and all applicable federal and state laws. The people selected to receive the procedures will be notified in the fall of 2010.