WMHS

ABOVE & BEYOND Recognition Form

Please help us recognize an exceptional employee by filling out this form. Above & Beyond recipients can be nominated by patients and their families, staff members, physicians, and visitors. Nominees should reflect UPMC’s core values:

THE CORE VALUES ARE:

  • Quality & Safety. We create a safe environment where quality is our guiding principle.
  • Dignity & Respect. We treat all individuals with dignity and respect.
  • Caring & Listening. We listen to and care for our patients, our health plan members, our fellow employees, our physicians, and our community.
  • Responsibility & Integrity. We perform our work with the highest levels of responsibility and integrity.
  • Excellence & Innovation. We think creatively and build excellence into everything that we do.
I would like to recognize:*
from Department:
Recognition Date:*
* Required Field

Contact Information

If you wish to remain anonymous please leave this section blank

Your name:
Patient's name (if not you):
Address:
Telephone number:
Type of Recognition:
Above & Beyond: to express appreciation and/or thanks for going above and beyond the employee's job expectations.
Compliment: to express appreciation and/or thanks for providing quality work within the employee's job description.

Please share your story with us and include as much detail as possible:*

I hereby agree and consent to the use of the information I provided for any UPMC publication, website, or general media purposes without limitation as to place and time. This I do without claim to remuneration or charges immediate or future.