Referrers Feedback Form

Name
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Clinic Name
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Address
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Email
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Contact Phone
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How do you rate the accessibility of our service to your patients?
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How helpful are the POGU staff when you are trying to book a scan or obtain a report?
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Have you had any difficulty to get in touch with Dr Thottungal if you wanted to discuss any cases/any queries?
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How do you rate the communication of reports of your patients?
Routine cases:
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Urgent cases:
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Abnormal cases:
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How do you rate the communication of reports of your patients?
Obstetric patients:
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Gynae patients:
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Any feedback you may have had from your patients about our service:
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What were you most happy with our service?
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Any suggestions you may have to improve our service?
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