The Patient's Choice
This popular award is now in its sixth year. It aims to recognise individuals or groups whose commitment and dedication ensures that exceptional care is delivered to our patients.
Name of the team/person you are nominating: *
Your answer
Ward/Department/Hospital *
Your answer
Why are you nominating this team/person? Please give as much information as possible. *
Your answer
What is your name? *
Your answer
Telephone number *
Your answer
Your Email Address *
Your answer
Date of Submission *
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My submission may be used for publicity purposes. Do you agree? *
Required
If yes, would you be willing to use your name, or would you like it anonymised? *
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Are you willing to be contacted for publicity purposes if your nominee is shortlisted? *
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