Employee Recognition

Please let us know if we provided you with a Simply Better experience!

At MemorialCare Miller Children's & Women's Hospital Long Beach, we are committed to our values of Integrity, Accountability, Best Practice, Compassion and Synergy/Team Work. If any individual or department provided you with Simply Better care, please recognize them by completing this form.

Thank you for choosing a MemorialCare hospital for your health care needs.

This Recognition is for:

Employee or Physician

Nurse

Daisy Award

Your Name:*

Phone:

Date:

(mm/dd/yyyy)

Department:*

I am a (select one):

Patient/Family

Visitor

Employee

Physician

I Want to Recognize this Individual/Department:*

Date Event Occurred:

(mm/dd/yyyy)

Time Event Occurred:

Your Story:*

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Please let us know if we provided you with a Simply Better experience!

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