Survey

To keep the provider directory up to date, Aetna Better Health of Florida would like to obtain more information regarding the practice's after-hours availability and Telemedicine services provided.

Please take a moment to respond to this 2 minute survey.

Question Title

* 1. Submitter Information

Question Title

* 2. Group Information (all fields are required)

Question Title

* 3. Service Location Information

For the service location listed above please respond to the telemedicine, after-hours, and office hours questions below.

Question Title

* 4. Does the practice provide Telemedicine/Telehealth services?

Question Title

* 5. Does the practice provide extended hours (after-hours)? (Hours before 8AM and after 5PM, Monday-Friday or all day on weekends, Saturday and Sunday).

Question Title

* 6. What type of after-hours coverage do you provide? 

Question Title

* 7. Please provide the practice office hours (example 8AM-5PM):

T