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DAISY Nomination Form

DAISY Nomination Form

We are proud to recognize our nurses with The DAISY Award for Extraordinary Nurses, a national program that honors the compassionate care and clinical excellence our nurses bring to their patients every day. Throughout the year, you may nominate a nurse for The DAISY Award. Please fill out the form below to nominate a nurse for the DAISY award.

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  • If you'd prefer, you can print and fill out the DAISY Nomination Form and send to:
    DCH Health System
    809 University Blvd. E.
    Tuscaloosa, AL 35401

    Please select an option.
  • DCH Official Communication, the information contained in this email message is confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient or the employee or agent responsible to deliver it to the intended recipient, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited.