Compliment

Feedback and Compliments Form

If you would like to contact us to make a compliment or feedback about the service or care your have received, please complete the online Compliments Form. Or you can make a compliment in writing by passing your written feedback to a member of the Reception team.

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Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-Practice365-in-2020/). Important: Delete this tip before you publish the form.

About You

Your Name

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Your Address

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How Can We Reach You

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Your Email Address

Email Address Optional Confirm Email Address Optional

Your Phone Optional

Best Time to Call You Optional

What's on your mind

Your Feedback/ Compliment

Feedback and Compliments Form

Next Steps: Sync an Email Add-On

About You

How Can We Reach You

What's on your mind

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