Registration form survey
On January - 4 - 2009 Subscribe here
Please take a few minutes and let us know what you think of our online patient registration system. We’ll be fine-tuning the system based on patient suggestions.
We had to add spam protection to the form, as we started getting fake surveys from spam-bots. Simply type in the number you see in the box then hit the “Submit” button. Please be sure to press the “Submit” button at the bottom of the form when you are done, or your survey will not be sent !
Thanks!