Recognition for initiatives of excellence in teamwork and collaboration that improves the care of children in a healthcare setting.

The CHA Medal of Distinction Award honours those in the CHA community who have made an outstanding contribution to improving the health of children through service provision, leadership, or advocacy.

Please include information against each of the relevant selection criteria listed below.

The information on this form will be used for the purpose of assessing nominations and selecting award winner.

For further information about the awards please contact us

Nominee details

Nominee Name(Required)

Description and evidence (150 word limit per criterion)

Please include information against each of the relevant selection criteria listed below.

Nominator details

Name of nominator(Required)
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