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ADMINISTRATOR FEEDBACK FORM

Send us feedback and comments using the form below. 

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:
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