Hey Doc, You Rock!

Good Samaritan's physicians Peer Recognition Program

This is for physicians who exemplify our mission, vision, and values and have shown exceptional care and go above and beyond.

We are asking for your help to nominate an amazing physician who fits the following criteria:

• On staff at Good Samaritan Hospital
• Recognized by: peers, staff, patient/family
• Demonstrates the ICARE (Integrity, Compassion, Attitude, Respect, Excellence) values

Hey Doc, You Rock! nomination form

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The doctor you are nominating*

First Name*

Last Name*

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

Please tell us about yourself

Name*

First Name*

Last Name*

I am a Good Samaritan Hospital physician

I am a Good Samaritan Hospital physician

Date

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