Praises or Compliments
While Valley Health Care strives hard to maintain positive relationships with all persons who receive care from us, we realize that from time to time a patient may have feedback (praises or compliments) about one of our policies or one of their experiences while in our office. Your feedback is important to us and we invite you to make note of your praise or compliment, so that we can do everything within our power to provide quality services to our patients.
Please log your praises or compliments below:
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Date
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Month
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Day
Year
Date
Please note that your praise or compliment will be taken seriously and we will review it promptly. If you wish to receive a response, please include your name, date of birth and contact information below
Patient Contact Information
Patient Name:
Date of Birth:
Email:
Telephone #:
Person Completing Form:
Relationship:
Thank You
Valley Health Care Operations Management Team
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