How is Our Customer Service?
The Division of Medical Quality Assurance strives to provide quality customer service and is continually looking for ways to improve. We welcome the opportunity to hear your concerns or suggestions about the customer service you received. Tell us how we are doing.
Tell us what kind of customer you are
Health Care Professional Practitioner
Health Care License Applicant
Citizen/Consumer
Tell us what type of service you used:
Application and Licensing/Initial and Renewals
Disciplinary Investigations/Actions/Reports
Information Requests/Public Records
other:
Did you use the online services or contact one of our offices directly via telephone or email or both?
Online
Contacted office(s) directly
Both
Is this a concern, suggestion or request for information?
Concern
Suggestion
Information
Tell us about the office or website involved.
Office
Person(s)
Date of Service
Please describe for us the details of your concern or question.
What resource did you use to access our website?
Personal desktop or laptop computer
Personal Smart phone (i.e., iPhone, Droid)
Work Computer
Public Library Computer
University Computer
Internet cafe, cybercafe or internet kiosk
Not Applicable
other:
Please provide your contact information so that we can keep you informed on how your concern or suggestion has been or will be handled.
Name
Address
City, State , Zip
Phone Number
Email Address
