You may submit your story by filling out the online nomination form below, or you can download our brochure with form and submit by:


Memorial Hospital of Carbon County
Attn: Marketing & Communications Director
2221 W. Elm Street
Rawlins, WY 82301

You can also hand deliver your form by returning it to one of the nomination boxes located at the 2nd and 3rd floor nurse’s stations or by the elevators in the main lobby!

Want To Thank An Extraordinary Nurse?

Fill out a DAISY Nomination Form and use the following criteria as a guide when submitting your nomination!

Trust and Teamwork (families, patients and peers) P E T A L S Passion/compassion for nursing and care provided Admirable attributes possessed Love for the patient and nursing profession Selflessness

Thank a Nurse