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UHCS Feedback Form

We value your opinion! Please help us understand what we do well and what we could do better.

If you have a specific question regarding treatment you may already be receiving that you want a provider to answer, please don't use this email form. To ensure a swift and timely response, please call directly at 262-472-1300, as emails are not necessarily reviewed throughout the day.

Comment is related to:

Health Services

Appointment Process
Visit with Health Provider
Reception/Checkout
Med. Room
Laboratory
Efill
Triage Nurse/Phone Call

Counseling Services

Appointment Process
Visit with Counseling Provider
Reception/Checkout
Psychiatry
Massage
Wellness/Outreach

Rate your overall experience:

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Comments/Suggestions:

Please write your comments or suggestions in the box below:

Contact

As with any UHCS communication, we will keep your comments confidential. This form has no way of identifying you, so you can consider this feedback anonymous.

However, if you would prefer, you can include your name, phone or email - especially if you would like a personal response.

Name:
E-mail:
Phone:
Please contact me about my comment.

You can also use a printed form available at the Ambrose Health Center, and drop it in one of our comment boxes located throughout the building, give it any UHCS staff, or return it free in Campus Mail. Calling 472-1300 to speak with an administrator is another way to give us your valuable feedback.

Thank you for your time and comments!

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Disclaimer

All information on this website is written by UHCS professional staff unless otherwise noted. No data is collected on visitors to this site. Financial Support for this web site is provided by University Health & Counseling Service, Division of Student Affairs, University of Wisconsin-Whitewater. This web site does not accept advertising.

This site is not meant to replace the advice of a health care or counseling professional. You should not rely on any information on these pages, or information generated for you by this site, to replace consultations with qualified professionals regarding your own specific situation. Some links take you to a source outside of UHCS. The owners of that site, not UHCS, are responsible for the content.