Dental Hygienist Patient Care Award Nomination Form

Recognize Excellence in Dental Hygiene with a Patient Care Award Nomination

Dental hygienists are the backbone of preventive oral healthcare, combining clinical expertise with compassionate patient education to improve outcomes and build lasting relationships. The Dental Hygienist Patient Care Award celebrates professionals who go above and beyond in delivering exceptional care, advancing preventive dentistry, and empowering patients to maintain optimal oral health.

This Dental Hygienist Patient Care Award Nomination Form makes it simple for dental practices, colleagues, and patients to recognize hygienists who demonstrate outstanding clinical skills, measurable preventive care outcomes, and effective patient education. Built with Paperform, this template is designed specifically for dental offices, professional associations, and healthcare recognition programs looking to honor the vital contributions of dental hygienists.

Why this form works for dental recognition programs

Whether you're a dental practice manager, a state dental hygiene association, or an awards committee, you need a structured way to capture detailed nominations that highlight clinical excellence and patient impact. This form guides nominators through:

• Nominee details and credentials including years of experience and certifications
• Preventive care outcomes with specific examples and measurable results
• Patient education effectiveness showcasing communication skills and health literacy initiatives
• Clinical skill excellence demonstrating technical proficiency and continuous learning
• Supporting documentation for testimonials, case studies, or performance metrics

With conditional logic built in, the form adapts based on whether the nominator is a colleague, supervisor, or patient—ensuring you capture the most relevant perspectives while keeping the experience smooth and professional.

Streamline your awards process with automation

Once a nomination is submitted, Paperform can automatically send confirmation emails to nominators, route submissions to your awards committee, and organize entries in your preferred tools like Google Sheets, Airtable, or your CRM. Need to create a shortlist or coordinate reviews? Connect this form to Stepper to build a complete workflow—from initial submission through committee review, finalist selection, and winner notification—all without manual data entry or email chains.

For programs that require signatures on eligibility statements or nominee consent forms, integrate Papersign to collect secure eSignatures as part of your nomination process, keeping everything connected and compliant.

Built for dental professionals who value recognition

This template is trusted by dental practices, hygiene associations, and healthcare HR teams to celebrate the professionals who make preventive care possible. With Paperform's flexible design system, you can match your organization's branding, add your logo, and customize success messages—creating an awards program that feels as professional as the hygienists you're honoring.

Ready to launch your Patient Care Award program? Start with this template and give your dental hygienists the recognition they deserve.