Dear Patient:

Providing quality care and meeting the needs of our patients is very important to our office. We want to be certain that we are providing you with first class care, along with special and personal attention. To accomplish this, we need your input. Your concerns and suggestions are important to us.

In order - this web to continue our high quality of care and to better serve you, we are asking you to take a few minutes to complete our online Patient Satisfaction Survey!

We encourage you to be open and honest in your assessment. As with all of our doctor/patient information, your responses are confidential.

To complete this survey, please visit our website at:

  1. Enter the Username: pt5925100 (case sensitive)
  2. Enter the Password: survey (case sensitive)

At the end of the survey, you will have the opportunity to print a coupon for discounted services at your next visit to the office.

We know that there are many choices available to you, and we appreciate your continued business.

Thank you,


Patients Online Survey
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