Complete this form to share your story of how a Mahaska Health nurse made a difference in your care or that of someone you know.

  • Thank you for taking the time to nominate an extraordinary Mahaska Health nurse for this award. Please tell us about yourself, so that we may include you in the celebration of this award should the nurse you nominated be chosen.

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Thank you!