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2018 Human Touch Awards Nomination Form

* Indicates mandatory field.

Please provide at least two demonstrable real-life examples of how the nominee provides exemplary, compassionate and person-centred care.

Please provide at least two written examples of how the nominee demonstrates a commitment to care through exceptional volunteer work that enhances the quality of life and/or access to care for patients.

To upload supporting materials such as testimonials, articles, images, etc., please click the attach icons below.
 

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc docx ppt pptx xls xlsx xml zip.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt rtf pdf doc docx ppt pptx xls xlsx zip.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt rtf pdf doc docx ppt pptx xls xlsx zip.

If you have any further information you would like to add about the nominee, please include it in the text box below.