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Name
Type of Feedback
Compliment
Suggestion
Complaint
Location of Compliment/Suggestion/Complaint:
Reception - Check In/ Check Out
Pharmacy
Physician/Nurse Practitioner
Nurses
Family PACT
Psychiatry
Counseling Services
Health Education/ HOPE & Wellness Center
Sexual Violence Advocacy and Education
Medical Records
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?
If you would like to be contacted regarding your feedback, please leave your email information below.
Please provide your phone number if you would like us to contact you.
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