DAISY Nomination Form Logo
  • DAISY Award Nomination form

    Please complete the form below to nominate an extraordinary nurse. Consider the PETALS of the DAISY nurse when writing your nomination story. P: Passion, E: Empathy, T: Trust & Teamwork, A: Admirable attributes, L: Love for nursing and patients, S: Selflessness.
  • A. Name of the Nurse you are nominating: 

  • B. Unit where the Nurse works:  

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  • If you have any questions please email us directly at DaisyAward@bayareahospital.org or call 541-269-8076.

    Once you complete this form, click on the "Submit" button below. This will then email you a copy of the submission, which is also emailed directly to our DAISY Award Program Coordinator. 

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