Patient Experience

Patient Experience Feedback

We want to hear from you! Please take a moment and share your thoughts below.

Please provide patience experience feedback (e.g. compliments, suggestions, complaints) through the form below or contact us at email or 650-962-5836.

Information you share is always confidential.

In which department did you receive care?

How was your experience (5 being the best)?*

Who provided you with exceptional care? Help us celebrate them!
Please provide the name(s) of the individual/team:

What did we do well?

What could have made your experience better?

If you wish to speak to someone on the Patient Experience team, please call 650-962-5836 or email patient_experience@elcaminohealth.org, or add your information below:

Today's date

Name (optional)

Phone (optional)

Email (optional)

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