Reid Health: Employee Recognition Form (GEMS)

Reid Health GEMS

G.E.M - Going the Extra Mile
Patient Name*
Room number or office name*
Date of patient visit or stay*

MonthDayYear
Name of the person you'd like to recognize:*
Department or area where you interacted with this person:*
Please describe the specific deed that makes this employee special:*
Your information is submitted through a secure online form and handled in line with our HIPAA obligations. View our privacy policy here.
Should be Empty: