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Giving Back

Thank You Submission Form

Fill out the form below to recognize a department or staff member at Carroll County Memorial Hospital for going above and beyond. Hearing the words "thank you" from a patient or family member is often more meaningful to our team members than any other type of reward. *Disclaimer: Information left on this page may be viewed by others.*
Please tell us about yourself. We may contact you if we need more information about your nomination or if your staff member has been selected to receive a special award.
May we share this as a public testimonial? (Additional releases of information may be required due to HIPAA requirements. Please make sure to include your contact information above.)*