OSF St. Mary Medical Center

Galesburg, Illinois

DAISY Award Nomination Form

If you would like to recognize a nurse who demonstrated compassionate care and service during your visit to an OSF HealthCare facility, you may nominate him or her for a DAISY Award!  Share your story and help us honor that individual for their extraordinary dedication to our OSF Mission .

* indicates a required field.

Format example: (555-555-5555)

Nominee Information

Please provide the following information below for the nurse you are nominating.

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