2023 Healthy Hall Award of Excellence - Nomination Form

The Greater Hall Chamber's Healthcare Awards Program seeks to spotlight those in the healthcare industry making a significant impact on our quality of life through excellence in health and wellness. Nominate an individual, business or organization for a Healthy Hall Award of Excellence by completing this survey. Nominees must be located in the Greater Hall area. Nomination deadline is 4pm on Wednesday, February 15, 2023. Awards will be presented at the 6th Annual Healthcare Awards Luncheon on Wednesday, March 15, 2023.

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* 1. Contact information of individual, business or organization you are nominating:

Contact Name:

Company:

Address:

Phone:

E-mail:

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* 2. Award you are nominating this individual/company for (select any that apply):

Corporate Achievement Recognition

Community Impact

Visionary Leader

Healthcare Education

Outstanding Achievement in Behavioral Health

Healthcare Worker of the Year

Advanced Practice Provider of the Year

Nurse of the Year

Dentist of the Year

Physician of the Year

Lifetime Achievement Award (may be awarded posthumously)

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* 3. Please tell us why you are nominating this individual, business or organization for this award:

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* 4. Please list your name and contact information here:

Name

Phone

E-mail