The BEE Award

The BEE (Being Exceptional Everyday) Award was established to recognize patient care partners who go beyond extraordinary expectations.

The BEE Award recognizes our patient care partners - such as our scrub techs, front office and Central Business Office teams, materials/supplies colleagues and all of our amazing colleagues who support our patients and physicians.

Need to recognize a nurse instead?

Click here to nominate a nurse for the DAISY Award

All fields with an asterisk (*) are required.

Thank You

The form was submitted successfully.

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

Save and Resume Later

Save and get link

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

Apply Discount

You saved

with code

Submit Form

Submitting

Validating

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Please check the field:

Fields

The patient care partner you are nominating

Name*

First Name*

Last Name*

Surgery center where the patient care partner works*

Share how a patient care partner enhanced your experience at our surgery center. Please include the patient care partner's name.*

Please tell us about yourself

Your name*

First Name*

Last Name*

I am:* (select one) Patient Family/Visitor Nurse Physician Staff Volunteer

Please select one

Date*

https://www.formstack.com/forms/images/2/calendar.png

Month

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Day

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Year

2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029

How do we reach you

Phone

Email

Previous← Next→

Enter your save and resume password

Cancel

Confirm