Heart for Healing Nominee

WGNS recognizes doctors, nurses and other healthcare professionals who are making an impact in our community. We would love to honor them with a plaque, announcements of their recognition on the radio and dinner for two at the Alley on Main Street Restaurant. The recogition is made possible by our friends at Ascension St. Thomas Rutherford Hospital.

The information you provide will remain confidential. The person won't know who nominated them. That's the part that makes it so special. We will also not share any of the below information, which is all required for us to arrange for them to be honored.

Your Name
Your Email Address
Zip Code* - Optional
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Your Phone Number
We will only contact you if we need additional information
How do you prefer we contact you with questions if necessary? - Optional

Name of Nominee
Notes - Optional
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Product Name - Optional
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Last Name* - Optional
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Where do they work?
Please give specifics as to where they work, i.e. the doctor's office, name of medical group, etc.
First Name - Optional
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Street Address - Optional
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Country - Optional
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Why do you feel they deserve this honor?