Feedback Form for Patients and Visitors
Compliment? Suggestion? Submit it below.
Are you an employee? (If not, keep scrolling to complete form)
Yes
*Employees
If you are an employee, the comment card process has changed. Please visit the link below to submit feedback: https://hrrmc.speakfullynow.com/
Suggestion? Compliment?
Action to take to resolve the issue or suggested solution?
Which department is your comment card in reference to?
Registration
EVS (housekeeping)
Café
Lab + Imaging
Administration
Human Resources
Marketing
Plant Ops (facilities + maintenance)
Buena Vista Health Center
Custer County Health Center
Saguache Health Center
Salida Health Center
South Park Health Care
Other
Please leave your name
First Name
Last Name
Would you like to be contacted about this?
*
Yes
No
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
Submit
Should be Empty: