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Daisy Award Online Nomination Form

I would like to nominate
from unit/clinic as a deserving recipient of The DAISY Award.  This nurse's compassionate care exemplifies the kind of nurse patients, families and Cambridge Health Alliance professionals recognize as an outstanding role model.

ADDITIONALLY, this nurse exhibits the following highly valued attributes (please check all that apply):

PLEASE DESCRIBE A SITUATION involving the nurse you are nominating that clearly demonstrates how she/he meets the criteria for The DAISY Award:

PLEASE TELL US ABOUT YOURSELF so we may include you in the celebration if your nominee is selected

Your name:

Relationship to the nominee:

The DAISY Award is bestowed quarterly (January, April, July and October).  Nominations received by the 15th of the month prior will be considered for that following quarterly DAISY Award.