Nominate a Nurse or Team of Nurses

DAISY Award honorees personify the mission of UF Health Jacksonville. These nurses consistently demonstrate excellence through their clinical expertise and extraordinary compassionate care, and they are recognized as outstanding role models in our nursing community. Please complete our DAISY Award Nomination Form to nominate a nurse or team of nurses you feel provides compassionate and excellent care.

To learn more about the Daisy Award, visit The Daisy Foundation Website.

* Required Fields

Nominee Information

Name *

Unit/Department Name:

Employee Job Title:

Core Value *
Choose an item Communication - Verbal Communication Hospitality - AIDET Communication Hospitality - First Impressions Hospitality - Patient and Customer Interaction Hospitality - Way Finding Professionalism and Responsibility - Appearance & Maintenance of Work Areas Professionalism and Responsibility - Personal Responsibility Teamwork - Problem Solving and Resolving Conflict Teamwork - Recognition Teamwork - Respectful and Supportive Interactions

Summary *
Please summarize a situation involving the nurse or nurses you are nominating that clearly demonstrates that he, she or they meet the criteria of the DAISY Award. Any UF Health Jacksonville nurse or team of nurses may be nominated. If nominating a team, please provide each nurses name in the summary. *

Submitter Information

Your name *

Phone *

Email *

I am: (please check one)
RN
Staff
Physician
Volunteer
Patient
Family/Visitor

Submit Form

Disclaimer: This online form is not encrypted. UF Health Jacksonville assumes no liability whatsoever of any kind for the information contained in your nomination. By using this service, you accept and understand this disclaimer. If you have any questions or comments about this service please contact our Web Services department.

If you would prefer to print and mail in your nomination, click here for a PDF.