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Physician or Advanced Practice Provider Nomination Form

Doctors and advanced practice providers are vital members of a connected care team. The Physician or Advanced Practice Provider Award recognizes providers who represent outstanding care.

Nominate a doctor or a provider

Our goal in each patient encounter is to provide the best healthcare experience possible. If you would like to recognize a provider who exemplifies the ideals expressed in our I CARE (Integrity, Compassion, Accountability, Respect, Excellence) values, please complete the nomination form.

Integrity – Doing the right thing, even when no one is watching

  • Prioritize the safety of our patients, guests, colleagues, and staff above everything else
  • Be honest, genuine and consistent with my words and actions and keep my promises
  • Act and treat others as if I am being observed by patients, guests and colleagues at all times

Compassion – Be empathetic to the needs of others and sympathize with their situation

  • Care for our patients and treat others as if they are our family, actively listen to their needs, and ensure they know they are highly valued and appreciated
  • Create an environment that inspires trust, safeguards dignity, and promotes healing
  • Ensure that patients and families feel they are included in decision-making and informed about their care

Accountability - Take ownership for how actions impact outcomes

  • Stay informed about organization, facility, and department initiatives
  • Take ownership of issues and maintain a high standard for my individual performance
  • Use open communication and AIDET- P (Acknowledge, Introduce, Duration, Explain, Thank You + Promise) in all interactions

Respect – I will value others and embrace diversity

  • Honor individual differences, cultural beliefs and embrace the communities we serve
  • Speak respectfully of others, acknowledging the vital role each of us plays in providing care to our patients, and promote a climate of trust
  • Give honest, timely, constructive feedback and graciously accept feedback as an opportunity to improve


  • Ensure excellent patient care is provided at all times
  • Value and use teamwork to provide excellent customer service
  • Take personal responsibility for the success, image, quality and reputation of the company