Student Health Patient Feedback Card

Page 1


PATIENT FEEDBACK

Your feedback is valuable in maintaining excellence in medical and mental health care standards. We value your input in continuous quality improvement for our patients.

Scan the QR code to fill out the online version of this form. uscsthealth.info/patientfeedback

At USC Student Health, we want to make sure you have a positive experience and that all your needs were met. If comments or concerns arise, we strive to address them in a timely and efficient manner. Your feedback will help us to continue to improve our patient resources and services, so thank you for telling us what you think!

Share your comments, compliments, and concerns by filling out the form below! Feedback can always be submitted anonymously.

NAME: (optional):

EMAIL (optional):

PHONE (optional):

*Please note: If you do provide your contact information, you may be contacted by our Quality Improvement team.

USC AFFILIATION:

Report a Concern

Ask a Question

Share an idea

Submissions will be received and reviewed by our Quality Improvement team . Please do not use this form for urgent medical issues that need immediate attention or if you need to speak to a counselor. Please speak with a Student Health team member or visit uscsthealth.info/urgentmatters for urgent matters contact information.

Privacy Details

USC Student Health collects, stores and uses personal information only for the purposes of administering your inquiry. The information collected is confidential and will not be disclosed to third parties without your consent, except to meet government, legal or other regulatory authority requirements.

Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.