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Referral Sources Satisfaction Survey

Your feedback helps us enhance the quality of care and services we provide. We appreciate you taking a few moments to let us know how we are doing. Please take a moment to fill out this survey.
Please rate the following items on a scale of 1 through 5, where 5 equals "excellent" and 1 equals "poor".

Pharmacy staff’s communication/responsiveness

Pharmacy staff’s communication/responsiveness
PoorExcellent

Quality of patient care/education/monitoring

Quality of patient care/education/monitoring
PoorExcellent

Turnaround time for prior authorization and benefit investigation/prescription processing

Turnaround time for prior authorization and benefit investigation/prescription processing
PoorExcellent

Accuracy of documentation/prescription verification

Accuracy of documentation/prescription verification
PoorExcellent

Overall professionalism

Overall professionalism
PoorExcellent

Any additional comments/suggestions/concerns?

Would you like to be contacted regarding your feedback?

Would you like to be contacted regarding your feedback?