NOMINATE YOUR HEALTH HERO...

FILL in this form and tell us in no more than 400 words — on a separate sheet of paper — why you think your candidate should win.

Send with the form below to: Health Hero Awards c/o Good Health, Daily Mail, Northcliffe House, 2 Derry Street, London W8 5TT. Or email: healthheroes@dailymail.co.uk

The closing date for nominations is midnight on Sunday, December 4, 2017. The editor’s decision is final. PRIZES: There will be a total of five finalists including the winner. Each finalist will receive a paid-for one-night stay in a five-star London hotel, selected by the organisers, and travel to and from London for them and one guest. The finalists will receive their award from the Prime Minister at 10 Downing Street. The prize for the Health Hero of the Year is a voucher for a luxury break up to the value of £5,000 courtesy of leading villa specialists Oliver’s Travels (oliverstravels.com), subject to Oliver’s Travels voucher terms. You must obtain the consent of your Health Hero to submit the entry before entering and submitting the details below. Usual Promotion Rules apply. For full terms and conditions see dailymail.co.uk.