Patient Guide

GIVE SOMEONE AT KERN MEDICAL A SHOUT OUT

Recognize a physician, employee or volunteer. Tell us about your quality customer service and exceptional care.

Date: _______________ Floor/Department (if known): ___________________________

□ Day Shift □ Clinic Describe your experience: ___________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ I am a: □ Patient/Family □ Manager/Supervisor □ Co-Worker Please deposit completed form in a designated SHOUT OUT box. □ Night Shift

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