Referring Provider Survey
Tri-City physicians, management and staff are committed to providing very good service to our patients and referring physicians. We have worked very hard to improve our service to you and your patients, particularly in the areas related to our telephones, referral process, timeliness of reports and interaction with our physicians. Please rate the services you received after referring your patient(s) to us.  With your feedback we can get better at serving you and your patients.
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Who is completing this survey? *
Ease of scheduling your patients. *
Very Poor
Very Good
Friendliness/courtesy of the staff on the phone. *
Very Poor
Very Good
Timeliness of our feedback. *
Very Poor
Very Good
Quality of our referral process. *
Very Poor
Very Good
Overall rating of care we delivered to your patients. *
Very Poor
Very Good
Overall rating of care we delivered to you. *
Very Poor
Very Good
Likelihood of referring patients to us in the future. *
Very Poor
Very Good
Comments (describe positive or negative experience and ways we can improve):
What is the primary reason that you refer your patients to Tri-City Cardiology?
Would you like a follow-up call, visit to your office, or to visit one of our practices?
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If you would like a call or visit, please leave your phone or address, and indicate Dr. or CEO.
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