Chesapeake Family's Favorite Doc's 2010

Chesapeake Family's Favorite Doc's Voting Ballot
Required Required Question(s)
Are your family's doctors or specialists exceptional?
Here's your opportunity to cast your vote and recognize all the health care professionals that keep you and your family healthy all year long. 

Voting begins February 1 and ends April 30, 2010.

All voters will be registered to Win a Wii Fit. Winners will be selected randomly from all ballots submitted. One entry per household. Good Luck!
 
Vote for your Family's Favorite Docs from each of the following categories. Include the Nominees name, location/city of practice and if applicable, practice name.
If the category does not apply to you, simply move on to the next one. It's that easy.
 
1.
Acupuncture
 

  • 350 character(s) left.
2.
Birth Centers
 

  • 350 character(s) left.
3.
Chiropractic
 

  • 350 character(s) left.
4.
Dentistry. 4 categories.
Cast vote as 1a, 2a etc.
 
1a. General
2a. Oral Surgery
3a. Orthodontics
4a. Periodontics
Other  
  • Comment:

  • 500 character(s) left.
5.
Dermatology.
 

  • 350 character(s) left.
 Woman on a Wii FitKeep going. This could be you.
 
6.
Family Practitioner/Family Nurse Practitioner
 

  • 350 character(s) left.
7.
Gynecology - Obstetrics.
 

  • 350 character(s) left.
8.
Hospital.
 

  • 350 character(s) left.
9.
Massage.
 

  • 350 character(s) left.
10.
Mental Health. 3 categories. 
Cast vote as 1a, 2a or 3a.
1a. Psychiatry
2a. Psychology
3a. Therapy.
Other  
  • Comment:

  • 500 character(s) left.
11.
Midwifery.
 

  • 350 character(s) left.
Just imagine...Wii Fit Family Soccer time. 
Wii Fit Family Soccer time
 
12.
Neurology.
 

  • 350 character(s) left.
13.
Optometry.

 

  • 350 character(s) left.
14.
Laser Surgery.
 

  • 350 character(s) left.
15.
Orthopedics.
 

  • 350 character(s) left.
Almost done.
Keep going to experience your Wii Fit moment of Zen. Your Wii Fit moment of Zen
 
16.
Otolaryngology (ENT)
 

  • 350 character(s) left.
17.
Pediatrics. Part 1 of 6 Pediatric categories.
Cast vote as 1a, 2a etc...
1a. General Pediatrics.
2a. Adolescent Medicine.
3a. Allergy & Immunology
4a. Allergy & Asthma
  • Comment:

  • 500 character(s) left.
18.
Pediatrics. Part 2 of 6 Pediatric categories.
Cast vote as 1b, 2b etc...
1b. Anesthesiology
2b. Cardiology
3b. Critical Care
4b Dermatology
  • Comment:

  • 500 character(s) left.
19.
Pediatrics. Part 3 of 6 Pediatric categories.
Cast vote as 1c, 2c etc...
1c.Developmental Behavioral
2c. Endrocrinology
3c. Gastroenterology
4c. Genetics
  • Comment:

  • 500 character(s) left.
20.
Pediatrics. Part 4 of 6 Pediatric categories.
Cast vote as 1d, 2d etc...
1d. Hematology - Oncology
2d. Infectious Disease
3d. Neonatal - Perinatal Medicine
4d. Neurology
  • Comment:

  • 500 character(s) left.
21.
Pediatrics. Part 5 of 6 Pediatric categories.
Cast vote as 1e, 2e etc...
1e. Opthalmology
2e. Orthopedics
3e. Otolaryngology (ENT)
4e. Pulmonology
  • Comment:

  • 500 character(s) left.
22.
Pediatrics. Part 6 of 6 Categories.
Cast vote as 1f, 2f etc...
1f. Surgery
2f. Urology
3f. Other
4f. Other
  • Comment:

  • 500 character(s) left.
23.
Plastic Surgery.
 

  • 350 character(s) left.
24.
Sleep Medicine.
 

  • 350 character(s) left.
25.
Sports Therapy.
 

  • 350 character(s) left.
26.
Therapy. 3 categories.
Cast vote as 1a, 2a or 3a.
1a. Occupational
2a. Physical
3a. Speech
Other  
  • Comment:

  • 500 character(s) left.
27.
Urgent Care.

 

  • 350 character(s) left.
28.
Vascular Surgery/Vein Restoration.
 

  • 350 character(s) left.
Required 29.
You're done. Thank you for taking the time to complete Chesapeake Family's Favorite Doc's ballot. Please enter your information as indicated below to be included in the Wii Fit drawing. Good Luck!
First Name:
Last Name:
Email Address:
emailaddress@xyz.com
City: