Feedback Form

(to be completed by the client/client’s family member/caretaker)

United Indian Health Services, Inc. welcomes all feedback as an opportunity to improve services. All clients have the right to make a complaint(s) or provide suggestions related to the delivery of health care for any service at any of our sites. Completing this form will not compromise access to future care.

Complaint Form

*Name optional – if your feedback is related to your care, omitting your name could limit our ability to fully investigate the issue or come to a resolution on your behalf
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