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DAISY Award Nomination Form

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DAISY award logo

The DAISY (Diseases Attacking the Immune System) Award is an international recognition program that honors and celebrates the skillful, compassionate care nurses provide every day. The DAISY Foundation was established by the family of J. Patrick Barnes after he died from complications of the auto-immune disease ITP in 1999. During his hospitalization, they deeply appreciated the care and compassion shown to Patrick and his entire family. When he died, they felt compelled to say “thank you” to nurses in a very public way. Please say thank you by sharing your story of how a nurse made a difference you will never forget!

DAISY Award Nomination Form

Thank you for taking the time to thank your nurse!

The DAISY Award for Extraordinary Nurses

DAISY award logo

Please download the form, complete and drop off or email at

Monroe Hospital
Attn:  Leann Tolliver, BSS, RN
4011 S. Monroe Medical Park Blvd
Bloomington, IN 47403