EMR Patient Feedback Request |
Patient Feedback Request
Patient feedback / outcome information is available for purposes of quality review and education only - any and all information is considered to be confidential.
Gold Cross will keep 1 contact name and email on file per service (service Training Officer) and all requests for feedback will be routed securely through that contact - Only members that rendered care to a patient are able to request/receive information. If your group is not affiliated with Gold Cross please put in your directors information.
All requests for patient feedback must be accompanied by a faxed run sheet ATTN: Nick Romenesko to 920-727-3033.
Each group may request feedback on each patient no more than 2 times.
If any requests for feedback are needed for a CISD, please contact Gold Cross Dispatch immediately at 920-727-3034 to initiate the CISD response and ask them the page Nick Romenesko for urgent patient feedback.
For all other requests, please allow a minimum of 48 hours for response.