It is our mission as a company to provide the highest level of patient care possible to all patients. 

At Urgent MedCare, we are always interested in hearing what our patients have to say. If you have been treated by Urgent MedCare, please take a moment to fill out the following survey.   If you have a problem, concern, or compliment please fill out the survey below.  For immediate assistance, please contact B.J. Freeze at (205) 581-1744.

We look forward to hearing your feedback!

Patient Feedback Survey

This form is in regards to a formal             regarding            

Date:            

Name            

Phone Number(s)  Home         
                                Cell           
                                Work        
                                Other        

Address

City    State      Zip Code   

Date of Service            

Patient Name (if different from above)

Relation to Patient

Nature of Visit           

Comments:            

  

 

 

 

 

 

 

 

 

 

 

 

 

Please allow 24 hours for someone to contact you regarding your patient survey. Thank you for taking the time to bring our attention to this matter. If you need immediate assistance, please call B.J. Freeze at (205) 581-1744.