Who Clearly Made a Difference?

The Health-care Hero Program Trinity takes great pride in providing quality, patient-centered care to all of our patients. But often there is someone special who really makes a difference for you or your family.

Whether it was the admitting clerk who put you at ease upon arrival, your physician, the volunteer who spent time with you each morning or the nurse who felt like a member of your family- if someone really made a difference for you- we'd like to hear about it.

Trinity's Health-care Hero program is an opportunity to recognize outstanding staff. Your comments in this form will be shared with the employee, their supervisors and management. You may receive a follow-up phone call from us to collect more details about your experience.

Thank you for sharing your story and showing your appreciation to our dedicated staff.

Health-care Hero is a program of the Trinity Health Foundation(a subsidiary in the Trinity Regional Health System.)



* Indicates required information
I WISH TO RECOGNIZE: (please tell us about your health-care hero)  
First Name 
Last Name 
Department/Patient Floor * 
Trinity Campus * 
Dates of Hospitalization 
Comments * 
YOUR INFORMATION: To insure this individual or department receives your note, please provide us with the following information: 
Your Name 
Phone 
Address 
City 
Zip 
Patient Name (if different) 
Relationship to Patient 
Email Address: 
SIGNATURE 
I understand Health-care Hero is a program of the Trinity Health Foundation (a subsidiary in the Trinity Regional Health System.) I understand that someone from the foundation may contact me and my comments may be shared with Trinity employees. 
Signature 
Date    (mm/dd/yyyy)