The Lion Care Award Nomination
General Information
Today's Date
Nominee type
Please select...
Individual
Nursing Staff
Physician Staff
Support Staff
Name of Nominee
Team - Department/Unit
Name of Person Making Nomination
Email Address
Home Phone
Please briefly describe how this nominee has demonstrated the core concepts of Patient and Family Centered Care (dignity and respect, information sharing, participation and collaboration).
Once your form is received, you will receive a phone call for more details about your experience with this nominee.
Contact Information