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You are here: Home > Online forms > Celebration of Achievement 2024 - Patient Choice Award
Online forms
Nominee's name or team name*
If you are nominating a team, who is the main contact?
Which site does your nominee work at?*
Please choose one site from the list below:BridlingtonCommunity basedMaltonNelsons CourtSt Monica'sScarboroughSelbyWhitecross CourtYork
Tell us why this team or individual deserves the Patient Choice Award*
Your name*
Your email address
Confirm email address
House number/name*
Street name*
City
Postcode*
Contact phone number*
You will receive confirmation of your nomination.
We will be in touch to verify your nomination. If your details cannot be verified, your nomination will be withdrawn.
Once your nomination has been successfully verified, your nominee will be informed.
Judging will take place.
The Trust uses nominations in a number of ways in order to represent the services we deliver, including in printed information, displays, exhibitions, on our website and on social media. Occasionally we may contact you with opportunities to submit your nomination for other award schemes.
Successful nominators will also be invited to contribute to a small film about their nominee.
By submitting this form, you agree that your nomination can be used for these purposes by the Trust. We reserve the right to continue to use the nomination until you advise us otherwise.
I give my consent as indicated above*
If you have any questions regarding any part of the above process, please contact us at yhs-tr.communications.team@nhs.net.
Email 2*:
* required fields
Nominate before Friday 17 May 2024.
Fundraising
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