Please fill out this short form to begin the nomination process for a Northern Virginia Regional Award for Excellence in Emergency Medical Services. This is not a formal nomination. A member of the Northern Virginia EMS Council will be in contact to assist with the formal nomination process. This form can be used year-round. If this form is used before May 18, 2018, the nominee will be eligible for the 2018 Award cycle.

We encourage you to use this site as often as possible. Save it to your phone, place it on your desktop, and take a minute out of your day to recognize the efforts of our wonderful healthcare providers.

In order to download the full application or to find out more about the regional and state award programs click here

Thank you for taking the time to recognize #EMSExcellence

Powered by ChronoForms -

Back To Top Website Security Test