SYMBIOSIS CENTRE OF HEALTH CARE (SCHC)
Dear Symbian,

Feedback form for the Hospitalized Staff & Student
SYMBIOSIS CENTRE OF HEALTH CARE welcomes your feedback.

Your Name, Institute and course name will be strictly confidential. Please give free, frank and constructive suggestions. Our intention is to improve the system and not to victimize the beneficiary. Your feedback is valuable to upgrade the system at SCHC

Thanks & Regards

Dr. Alaka Chandak
Director, SCHC
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Email *
* Required
Name *
Category *
Academic Year *
Gender *
Name of Institute  *
Campus Name *
Mobile Number *
Email  ID: *
Did you consult Medical Officer of SCHC prior to your hospitalization ? *
If Not consulted why ?
1. Were you aware about the process to avail benefit of Mediclaim and /or Road /Rail Traffic Accident (RTA) Policy offered by Symbiosis? * *
2. Were you aware about the terms and conditions of Mediclaim and Road /Rail Traffic Accident (RTA) Policy offered by Symbiosis? *
3. Please write the name of the hospital and City in which you were admitted? *
4. Please write the date of your hospitalization. *
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5. Which method of Mediclaim insurance policy you want to avail? *
6. Did any Medical Officer from SCHC visit during your hospitalization?  *
6. Total Bill for Hospitalization *
7. Have the following documents been obtained? (applicable for road & Rail traffic accidents)                               a) Panchanama Report *
b) Medical Legal Certificate (MLC)   *
c) First Information Report (FIR) *
8.  Are you covered by any other health insurance plan?  *
9. Did you experience any malpractise during your claim settlement procedure?  *
(your name will not be disclosed if you point out any malpractise)
10. Did the Medical Officer of Symbiosis provide you proper information about your insurance claim?  *
11. How satisfied were you with the overall performance of services offered by  i) Hospital *
ii) Symbiosis Center of Health Care - Insurance Cell *
12. Please mention the difficulty(ies) faced during hospitalization. *
iii) Claim settlement Procedure *
For any query, please call Medical Officer, Insurance Cell, SCHC @ 9552525015 E-mail Id- insurance@schcpune.org  *
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