Nominate a Nurse | MemorialCare

DAISY Award Nomination Form

The DAISY Award is an international program that rewards and celebrates the extraordinary clinical skill and compassionate care given by nurses every day. Long Beach Medical Center and Miller Children’s & Women’s Hospital Long Beach are proud to be DAISY Award Partners – recognizing outstanding, compassionate and caring nurses.

Patients, visitors, nurses, physicians and employees may nominate a deserving direct care nurse at Long Beach Memorial or Miller Children’s by filling out the form below.

I want to nominate

First

Last

Nurse Department *

Hospital (Select One)

Long Beach Memorial

Miller Children’s & Women's Hospital Long Beach

I am a: (Select One)

Patient

Vistor

Employee

Physician

Describe a touching experience of how this nurse provided exceptional care*

Your Name

First

Last

Your Phone Number*

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