Daisy Award Nomination

This nurse’s clinical skill and especially her/his compassionate care exemplify the kind of nurse that our patients, their families and our staff recognize as an outstanding role model. She/he meets all of the criteria for this award:

Must be a nurse
Must be a Meritus Health employee

I would like to Nominate: *
Please enter your nominee's name.
From Department *
Please enter your nominee's department.
Please describe a situation involving the nurse you are nominating that clearly demonstrates he/she meets the criteria for The Daisy Award:

Please enter a response.
Thank you for taking the time to nominate an extraordinary nurse for this award. As the nominator, please tell us about yourself so that we may include you in the celebration of this award, should the nurse you nominated be chosen.
Your Name *
Please enter your full name.
Unit *
Please enter your Unit.
Phone *
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Email *
This isn't a valid email address.

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Pager *
Please enter your pager.
I am (please check one):
- RN
- MD
- Patient
- Family/Visitor
- Staff
- Volunteer
Date of Nomination *
Please enter the date of nomination.