The Extra Mile Club program recognizes and rewards individuals based on the healthcare District's core values.  They are:
The highest standards of behavior encompassing honesty, ethics, and doing the right thing for the right reason.
Providing excellent service and compassionate care.
Responsible management of assets and financial resources.
Visionary and extraordinary creativity; exploring new opportunities to improve the quality of life for all persons.
An abiding respect for others and a sustaining synergy and commitment to work together.
Maintaining a position of value in one's self, toward customers, the District and the communities we serve.
Date *
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Extra Mile Nomination Form
Please note that patient information is protected and restricted by law.  Unless you are the patient or CCC resident, do not use the patient's name in the description.  This nomination cannot be considered if patient confidentiality is broken.
First name of the HDMC individual you wish to nominate *
Last Name *
Describe this individual *

At which HDMC location was care received
Date you received care (approximate date is okay)
Describe in detail what impressed you about this person
Please refer to the list on the left for a definition of our core values!
Choose one core value that best describes your nominee *

Please tell us about yourself!
Describe yourself *

We cannot consider this nomination to the Extra Mile Club unless you provide your name.
Your First Name *
Your Last Name *
As a patient or resident, I understand that HDMC protects confidential patient information and is restricted in how that information is used.  By submitting this information to Hi-Desert Medical Center I give HDMC permission to share the enclosed information with the individual I wrote about as well as use it in the recognition program which may include posting this information for HDMC staff to read. 
Regarding this information *

Sometimes it would be helpful to us if we could contact you for additional information. 
You may contact me (please provide telephone or email info)

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