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Patient & Visitor Information

Excellent Patient Care Experience

Roosevelt General Hospital and the RGH Clinic team want to hear about your experience!
Please share how the RGH staff provided excellent patient care during your time at our facilities.

Patient Name
For patient privacy, list only first name unless you would like to share your identity.
Email Address


RGH Department or Clinic
Where did you experience your patient care excellence?
Your experience
How did you experience excellence in patient care?
Please Note: Comments submitted using this form may be used in our monthly newsletter or on our website. This form should not be used for medical queries or medical advice.