ROSE Award Nomination

Thank a Nurse at Doctors Hospital of Augusta

At Doctors Hospital of Augusta, our nurses are the heart of everything we do. They provide compassionate care, comfort, and support to our patients and families every single day—and we couldn’t do it without them.

As we celebrate Nurses Week 2025, we invite you to help us recognize the incredible nurses who make a difference in the lives of so many.

Did a nurse make your hospital stay easier? Offer a listening ear? Go above and beyond when you needed it most?

Your words of gratitude can brighten a nurse’s day and remind them just how valued they are.

Share Your Thanks

Please take a moment to write a thank you note to a nurse who impacted your experience at Doctors Hospital. Whether it’s a few words or a personal story, your message will be shared with our nursing team during Nurses Week to let them know how much they’re appreciated.

Submit Your Thank You Note

Thank you for helping us celebrate the extraordinary nurses who bring comfort, care, and healing to our hospital community.

All fields with an asterisk (*) are required.

Thank You

The form was submitted successfully.

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

Save and Resume Later

Save and get link

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

Apply Discount

You saved

with code

Submit Form

Submitting

Validating

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Please check the field:

Fields

The ROSE Award nomination form

The employee you are nominating*

First Name*

Last Name*

Employee's department*

Please share your story that demonstrates how this employee made a meaningful difference.*

Thank you for taking the time to nominate an extraordinary, compassionate employee for this award. Please tell us about yourself, so we can include you in the celebration of this award, if the employee you nominated is chosen.

Please tell us about yourself

Your name*

First Name*

Last Name*

I am:* (select one) Patient Family/Visitor MD Nurse Staff Volunteer

Date

https://www.formstack.com/forms/images/2/calendar.png

Month

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Day

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Year

2020 2021 2022 2023 2024 2025

How do we reach you?

Phone

Email

---

General Internet communication is inherently not secure. DO NOT send data considered confidential or private in nature on this form. (e.g., Social Security Numbers, Diagnosis Information, Credit Card Numbers, etc.)

Previous← Next→

Enter your save and resume password

Cancel

Confirm