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Professional Emergency Specialists of Southern Ohio
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Patient Feedback

PESSO is always interested in feedback regarding our physician services. Your comments are very important to us because we strive to always provide our patients/customers the highest quality of care in keeping with the tradition of “excellence”. Be assured your feedback is considered confidential and in alignment with the HIPAA Compliance Regulation of Patient Privacy.

Lisa Wallingford
Customer Relations Director
lwallingford@pessodoctors.com
937-383-1040 Option 2

1. About this feedback...
Type of feedback:
Service Location:
2. Please enter the patient's information:
Patient's First Name:
Patient's Last Name:
Email Address:
Phone Number: () -
Street Address:
City:
State:
Zip:
Date of Birth: Day: Month: Year:
3. What was the date of the service concerned?
Date of Service:
4. Please enter below.
Your Comment:
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