Cubby Care and Lion Care Awards Nomination
Name of individual or team nominee
Department or unit of individual nominee (if applicable)
Please briefly describe how this nominee has demonstrated
the patient- and family-centered care core concepts:
dignity and respect, information sharing, participation,
Name of person making nomination
Email of person making nomination
Phone number of person making nomination
Would you like to be contacted about sharing a video
with the nominee?
Once your form is received, you will receive a phone call for more details about your experience with this nominee.
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.