Get the free Extraordinary Doctor Nomination Form - PeaceHealth - peacehealth
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ExtraordinaryDoctorNominationForm
PeaceHealthSouthwestsExtraordinaryDoctorAwardacknowledgesthosephysicianswhoexceedexpectationsinthecorecompetenciesfor
medicalstaffmembership. TheAwardusesobjectivecriteriabasedondefinedexpectationsformedicalstaffstatusandhelpstosupportthe
hospitalsmissionandculture.
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How to fill out extraordinary doctor nomination form
How to fill out an extraordinary doctor nomination form:
01
Start by reading the instructions provided with the form carefully. Make sure you understand the criteria for an extraordinary doctor and the information required to complete the form accurately.
02
Begin by providing your personal information, including your name, contact details, and any relevant credentials, such as your profession or organization affiliation.
03
Next, provide details about the doctor you wish to nominate. Include their name, contact information, and any relevant professional details, such as their specialization or achievements.
04
Specify the reasons why you believe this doctor deserves the extraordinary nomination. You may need to provide details about their contributions to the medical field, innovative approaches, research outcomes, or any other notable accomplishments. Be specific and provide supporting evidence whenever possible.
05
If required, attach any supporting documentation that demonstrates the doctor's extraordinary qualities or achievements. This could include published articles, patient testimonials, awards, or any other relevant materials.
06
Review your completed form to ensure all the necessary information has been provided accurately. Double-check any contact details or supporting documentation attached to avoid any errors.
Who needs an extraordinary doctor nomination form:
01
Medical organizations or institutions that recognize exceptional doctors within their field may require an extraordinary doctor nomination form.
02
Patients or their families who have had a remarkable experience with a doctor and want to acknowledge their outstanding dedication and care may also need this form.
03
Professional medical associations or societies that promote excellence in healthcare may utilize an extraordinary doctor nomination form to identify and honor exceptional professionals.
Overall, the extraordinary doctor nomination form serves as a means to highlight and recognize doctors who have made significant contributions to their field or have provided exceptional care to patients.
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What is extraordinary doctor nomination form?
The extraordinary doctor nomination form is a document used to nominate a doctor who has shown exceptional skills, achievements, or contributions in the medical field.
Who is required to file extraordinary doctor nomination form?
Any individual or organization can file the extraordinary doctor nomination form to recognize a doctor's outstanding work.
How to fill out extraordinary doctor nomination form?
To fill out the extraordinary doctor nomination form, provide the doctor's name, contact information, description of their achievements, and reasons for nomination.
What is the purpose of extraordinary doctor nomination form?
The purpose of the extraordinary doctor nomination form is to acknowledge and honor doctors who have made significant contributions to healthcare.
What information must be reported on extraordinary doctor nomination form?
The information required on the extraordinary doctor nomination form includes the doctor's name, contact details, achievements, and reasons for nomination.
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