Your Information
First name
Last name
Email address
Phone number
I am a:
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Patient
Family/Visitor
Employee
Nominee's Information
First name
Last name
Department
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Cardiac Catheterization Lab
Electrophysiology Lab
Pre/Post Holding Area
Medical Outpatient Unit
Non-Invasive Cardiology
Interventional Vascular Unit
The Heart Group
The Heart Station
Other
Please describe a situation involving the employee you are nominating that clearly demonstrates he/she meets the criteria for the ACE Awards.