Daisy Award Nomination Form

Help CMH Recognize Nurses Who Make A Difference.

DAISY Award recipients personify Calvert Memorial Hospital’s remarkable patient experience. These individuals demonstrate excellence through extraordinary service and compassionate care and are recognized as outstanding role models in the nursing community. She/he may demonstrate any of the following criteria:

Extraordinary act of kindness and compassion
Established a special connection through trust and emotional support
Passionate about profession
Models empathy and caring attitude in all interactions
Vigilant advocacy-protecting in every possible way

Nominee's First Name *

Nominee's Last Name *

Nominee's Department/Unit

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

Your First Name *

Your Last Name *

Your Email Address

Your Department/Unit

Phone Number