SHCS - Patient Feedback
Type of Feedback
Location of Compliment/Suggestion/Complaint:
Reception - Check in/ Check out
Physician/ Nurse Practitioner
Health Education/ HOPE & Wellness Center
Sexual Violence Advocate & Educator
Name of Staff for Whom you have a Compliment/Suggestion/Complaint
Please describe your compliment/suggestion/complaint at SHCS
Describe What Would be an Acceptable Outcome for You?
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