Daisy Award Nomination Form

What is the Daisy Award?

The DAISY Award honorees symbolize our hospital's outstanding patient experience. It is a program that rewards and celebrates the remarkable clinical skill and compassionate care given by nurses each day. Valley Health Specialty Hospital is proud to be a DAISY Award Partner, recognizing one of our nurses with this special honor every quarter. To find out more about the program, including the growing list of Hospital Partners, please go to www.DAISYfoundation.org.

DAISY Award Honoree
Each DAISY Award Honoree will be recognized at a ceremony in her or his unit and will receive: a beautiful certificate, a DAISY Award pin and a hand-carved stone sculpture entitled A Healer's Touch. Additionally, everyone in the unit will celebrate with Cinnabon® cinnamon rolls - a favorite of Patrick's during his illness. The Barnes Family asks that whenever and wherever nurses smell that wonderful cinnamon aroma, they stop for a moment and think about how special they are.


1.I would like to nominate (name of Nurse):
2.Name of Nurses Department
3.Please describe a situation about the nurse you would like to honor
4.What is your name:
5.Phone number:
6.Email Address
7.I am (please select one)