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Patient Feedback
Hi there! Please let us know about your experience and how we may improve.
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1
Name
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First Name
Last Name
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2
Phone Number
Please enter a valid phone number.
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3
Which location is this feedback regarding?
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La Pine - Huntington Rd
La Pine - Huntington Rd - WALK-IN
La Pine School Based Health Center
Gilchrist School Based Health Center
Christmas Valley
Other - Virtual Visit
Other - Telephone Call
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4
Who is this feedback regarding?
Rebecca Brewer
Janice Cody
Dr. Joan Friderici
Rita Goehring
Denise Griffiths
Scott Johnson
Tyson Langeliers
Dr. Divya Sharma
Sarah Sperry
Kristina Timmons
Beth Erickson
Kevin Christy
Other - Megan Lindley
Other - Tonya Karlowicz
Other - Outreach
Other - Medical Assistant
Other - Nurse
Other - Reception
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5
Please describe your experience and let us know how we may improve.
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