Primary Care Quality and Innovation Awards 2025

This is a preview of the Awards Nomination Form 2025 form. When you’re ready to apply, click Fill Out Now to begin.
 

HNECCPHN Primary Care Quality & Innovation Awards 2025

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Application for Nomination

Welcome to the nominations for the 2025 Primary Care Quality & Innovation Awards. 

Before completing this nomination form, please read the 2025 Primary Care Quality & Innovation Awards Guidelines. Please have a copy of the Guidelines in print or visible on screen to refer to at this link: Guidelines.

This form can be used for nominations in any of the award categories, but a separate form must be completed for each award category in which you are nominating. The applicant (who is nominating/submitting the form) and the nominee for the award may be the same person as self-nomination is permitted.

We are also accepting nominations via video submission in lieu of written submissions if this is your preference. Videos must be of a duration of no longer than three minutes and must address the same criteria as outlined in the guidelines and this nomination form. For video submission, please complete the initial background information and supporting data to accompany this nomination form.  Select the option for video submission. In addition, we have provided Tips on Filming a video on your computer or smartphone to assist you at this link: TIPS

Incomplete nominations and/or nominations received after the closing date (including videos) may not be considered.

If you require assistance or more information, please email qualityawards@thephn.com.au.

Confirmation of Eligibility

I confirm that the applicant ...

  • has read and understands the nomination guidelines, and
  • is nominating an individual, organisation, clinic/team, or service provider working across primary health care in the Hunter, New England and Central Coast region.
  • understands that Hunter New England Central Coast Primary Health Network reserves the right to decide any instance of perceived or actual conflicts of interest. This may lead to ineligibility of the nomination.
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You must confirm that all statements above are true and correct.