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* 1. Please complete details.

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* 2. Is your office interested in directly booking appointments with our Customer Support Centre and having our staff follow-up with your patients for appointment notification and reminders?

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* 3. Which location(s) do you use more frequently

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* 4. How interested are you in connecting to the WH Portal to access reports and exam images quickly through on-line access?

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* 5. How satisfied are you with how long it generally takes to obtain
an oral (if urgent) or written consult/report from this facility, once your patient is seen?

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* 6. This facility accommodates patients when the test is urgently required.

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* 7. The interpreting physician is available to you for consultation.

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* 8. The recommendations are clearly stated.

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* 9. Reports of results are sent out in a timely fashion.

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* 10. Overall, how satisfied are you with the contacts you have had with this facility in the past six (6) months?

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* 11. How satisfied are you with how long it generally takes to get an appointment for a patient at this facility?

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* 12. What are the reasons you refer patients to this particular facility?

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* 13. What changes would most improve competing services currently available from other companies?

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* 14. Additional Comments