Nominate a Nurse from a hospital for the DAISY Award

* = indicates required field

Part 1: Nurse Information

Please provide the following information about the nurse you believe is deserving of the DAISY Award. If you wish to nominate a doctor or other provider who is not a Nurse, please see the Golden Stethoscope Award page.

* Nurse First Name

* Nurse Last Name

* Hospital Name

In the future, the DAISY Award may be awarded to nurses at other Presbyterian hospitals & locations. In the meantime, if you would like to send a compliment for a nurse's work, please see the Compliment Form.

* Unit or Department Name

* Please describe this nurse's exceptional patient care. If possible, write about a specific event:

characters remaining

* Date of event/encounter with the nurse:

Month Day Year

Part 2: Your Information

* Your First Name

* Your Last Name

* Your Phone Number

* Your Email

* Your Work Location: