Honor Your Provider

The Everett Clinic is celebrating 89 years of excellence by recognizing some of our outstanding providers. As a patient at The Everett Clinic, you have a unique perspective on the work of our providers. We would like you to help us recognize their work.

Tell us of a time when your provider went above and beyond, how he/she has been meaningful in your life, or how your life has improved through the work of your provider. We would like to honor them!

Please fill out the form below. Submission deadline is Sunday, September 21 at 5pm. Thank you.
Name of Everett Clinic Provider
Why he/she deserves to be honored: (1,000 character limit)
Your Name (optional)
I understand this nomination form is exclusively for nominating my provider to be recognized. By submitting my information through this form, I give my consent for it to be shared for purposes of this contest. The form is NOT secure and is not designed for immediate communication. It is not intended for any patient care or financial issues.