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ADMINISTRATOR FEEDBACK FORM

Send us feedback and comments using the form below. 

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We use this information to evaluate our physicians and deliver useful feedback for growth and opportunity purposes. 

Quality of care:
Adherence to QA standards:
Appropriateness of diagnostics and therapeutics:
Communication and interaction with fellow providers:
Communication and interaction with staff:
Communication and interaction with patients and families:
Communication with referring physicians (including timeliness and thoroughness):
Timeliness, legibility, and thoroughness of documentation (checkouts, EMR documentation, billing, reference requests, HIM questions, etc):
Participation in group activities, meetings, and projects:

Localized Care

3515 W Central Avenue
Wichita, KS 67203-4921
316-755-0144

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