Central Maine Medical Center
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300 Main Street, Lewiston, ME 04240 | 207-795-0111

Nominate a Nurse for The Daisy Award

The Daisy Award for Extraordinary Nurses

The Daisy Award

I would like to nominate the following nurse:

Name of Nurse:


Unit/Department:


Please describe a situation involving the nurse you are nominating that clearly demonstrates he/she meets the criteria for The DAISY Award:


Please tell us about yourself, so that we may include you in the celebration of this award should the nurse you have nominated is chosen.

Your Name:


Phone:


Email:


Date of submission:


I am a:
Patient
Family/Visitor
Healthcare Provider
Staff
Volunteer