The TULIP Award Nomination Form

The TULIP Award recognizes Patient Care Technicians (PCT) who personify the Mission, Vision, Values, and Core Behaviors of Piedmont's promise to our patients. Honorees consistently demonstrate excellence through their extraordinary compassion and patient-centered care. They are recognized as outstanding role models who lead by example and act with professionalism.

The TULIP acronym stands for:
Team members
Upholding
Loyalty
Integrity and the
Piedmont Promise

Nominate a Patient Care Technician

Share your story below!

First Name: *Last Name: *Email: *I am (please select one): *

RN	MD	Patient
Family/Visitor	Staff	Volunteer

Date of Nomination: First and Last Name of the PCT you are nominating: *Hospital name and Unit where this PCT works: *I would like to thank my PCT and share my story of why this PCT is so special: *Do you want to be contacted if your PCT is chosen so you can attend the recognition ceremony? *

Yes

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Piedmont Columbus

Piedmont Columbus Regional - Midtown

Piedmont Columbus Regional - Northside

The TULIP Award Nomination Form

Nominate a Patient Care Technician

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