Cheyenne Regional Medical Center / Patients & Visitors / Employee Recognition / VIP Nomination

VIP Nomination

Nominate someone at Cheyenne Regional for his or her dedicated efforts in making this organization a great one!

Today's Date*
MM slash DD slash YYYY
I would like to recognize/nominate:*
The person being recognized is:*
- If you have a nurse you'd like to recognize, please visit: Daisy Awards
- Physician (Physician, Physician Assistant, Nurse Practitioner)
- Clinical (But, Not a Nurse)
- Non-Clinical
- Volunteer
Department they work in.*
I want to recognize/nominate the employee for:*
- VIP award nominees must meet at least two of the following criteria to be eligible for the award:
- • Provides exceptional patient care
- • Goes above and beyond normal job duties
- • Lifts employee morale
- • Demonstrates increased productivity
- • Demonstrates exceptional teamwork
- • Exhibits creativity and/or innovation within the organization
- • Demonstrates leadership outside of regular job responsibilities
Your Name
(patients and visitors may remain anonymous)
First Last
Phone
Email*
Your Role
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.