Healing Heart Consumer Recognition Award This award is to recognise a nurse/midwife who consistently provides extraordinary, safe, quality and compassionate care. This nurse or midwife demonstrated an uncompromising commitment to elevating the patient experience by building connection with patients/women and their families through trust, kindness and empowerment. This is an opportunity to recognise the great care you or a family member have received from a nurse/midwife. Nomination Form Name First name of the nurse/midwife? Last name of the nurse/midwife? Where did you meet this nurse/midwife? Why have you nominated the nurse/midwife for this award? What else would you like to say about this nurse/midwife? Your Details Name First name Last name Email What suburb do you live in? Phone number Is the nominee aware of this nomination? Yes No Can we contact you about your nomination, if required? Yes No Submit Leave this field blank