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Extraordinary Provider
Is there an extraordinary provider that you would like to recognize? Tell us! Nominate an extraordinary provider using the form below, and we'll do the rest.
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Date of event:
(mm/dd/yyyy)
Location of event:
Name of Provider
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For the following (check all the apply)
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Explained everything so I could understand
Exceptional knowledge and skills
Compassionate and concerned
Went the extra mile
Positive attitude
Outstanding leadership
Superb team player
Other comments/what they did:
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Your Name
I am (check any that apply)
Staff
Patient/Visitor
Provider
Email or Mailing Address
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