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Please complete the following information about the person you would like to nominate.
Please consider including any additional information that may help us identify the nominee (for example: date of visit, patient’s name, etc.)
I would like to nominate this person as a deserving recipient of The DAISY Award. This nurse's compassionate care and clinical skill exemplify the kind of nurse that our patients, their families, and our staff recognize as an outstanding role model. They consistently meet all of the following criteria:
Thank you for taking the time to nominate an extraordinary nurse for this award. Please tell us about yourself, so that we may include you in the celebration of this award should the nurse you nominated be chosen.