Nominate – The Dolphin Award

Nominate a Dolphin Award Physician

Your words can shine a light on the physician who went above and beyond in your care.
Nominate them for The Dolphin Award and celebrate their dedication to healing.

Nominate

About Your physician

First name of the physician you are nominating:

Last name of the physician you are nominating:

Full Name or Display Name on Award

Unit or Room Number

Organization (hospital/ medical center/ clinic) where your physician works (Please be as specific as possible: E.G. Kaiser Permanente Oakland Medical Center NOT only Kaiser Permanente):

Address

City

State

Country

Nomination Story

Please describe a specific situation or story that clearly demonstrates how this nurse made a meaningful difference in your care. Note: If using a mobile device to enter this E-Nomination you can easily enter your story by selecting the microphone button on your device and dictating your story instead of typing.

About You

First Name

Last Name

Phone

I am a:

By checking this box and submitting the online form, you agree to The Dolphin Award and/or its partners collecting and storing the information you provide, including your personal contact details, in accordance with The Dolphin Award Privacy Policy and applicable law. The Dolphin Award team or the organization where your physician practices may contact you with questions about your submission.