Billing Survey

Billing Center


Billing Survey

In order to evaluate and improve our services, we need all feedback. Please take time to return this survey and inform us on your opinions to the following questions.

Please check the appropriate box related to your billing experience.

Promptness and Friendliness of Staff Responding to Your Question  *

Quality and Timeliness of Communication  *

Please Rate Your Overall Billing Experience to Resolve Your Concern  *

If you are unable to rate us Very Good, please provide us with any suggestions on ways to improve our service level. Patient Name or Client Name