Patient Satisfaction | Huntington Hospital

Patient Feedback Form

Patient satisfaction is among our highest priorities. As your partner in healthcare, we encourage you to submit comments, feedback and suggestions regarding how we might improve – or share your experience with us so we can provide helpful insight and recognition to your care team.

Please use this form to send us your feedback. Note that we are unable to respond to medical questions through this form. You can also use the form to file a complaint or grievance. If you would prefer to file a complaint or grievance over the phone, please call us (626) 397-5211.

Thank you for trusting us with your care.

For help choosing a Huntington Hospital physician, or for general information about healthcare, please contact the Huntington Hospital Referral Service at (800) 903-9233. You will be asked to leave a clear message including your name and phone number. This service will return your call in a timely manner.

Patient Feedback

Your Name*
First Last
Patient Name*
First Last
Patient Date of Birth*
MM slash DD slash YYYY
Phone Number*
Email*
Related Issue*
Relation To Patient*
When did you receive service?*
MM slash DD slash YYYY
Where did you receive service?*
Your Comments/feedback*
*
I have not left any personal medical information in the message box. I consent to the processing and storage of my personal data for the purposes of Huntington contacting me.*
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Name
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How Can We Help You?

Patient Feedback Form

Patient Feedback