Requestor Satisfaction Survey

Thank you for requesting medical records. To better serve you in the future, please take a moment to complete the survey below.

* 2. Enter the name of the hospital or clinic from which you requested records.

* 3. (Optional) Please enter your invoice number if available (found on top right corner of invoice).

* 4. Did you speak with a live representative(s) in the process of requesting records?

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