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(416) 630-7540
(416) 630-4757
[email protected]
3695 Keele St Suite 100 North York, ON M3J 1N1
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Testimonials
Associated Clinics
Lawrence Park Cardiology
Covid-19
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Cardiology Services
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Make Appointment
Send Referral
Downloadable Referral
Satisfaction Survey
Contact Us
Main Menu
About
Our Clinic
Testimonials
Associated Clinics
Lawrence Park Cardiology
Covid-19
Services
Areas of Practice
Cardiology Services
Appointments
Make Appointment
Send Referral
Downloadable Referral
Satisfaction Survey
Contact Us
Please take a minute to complete our Healthcare
Provider Satisfaction Survey
Your satisfaction with our services is very important to us, and your feedback
will help ensure we’re providing your patients the highest standard of patient care.
First Name*
Last Name*
CPSO/CNO/Member Number*
Email*
1. Are you satisfied with the way the appointments are arranged?*
Yes
No
2. Are your phone calls attended to promptly and courteously?*
Yes
No
3. Is the requisition easy to follow?*
Yes
No
4. Are the reports concise and comprehensive?*
Yes
No
5. Are the reports received in a timely manner?*
Yes
No
6. Do you find our locations and office hours to be convenient?*
Yes
No
7. Overall, have we met or exceeded your expectations?*
Yes
No
8. Would you recommend Yorkview Cardiology to a colleague?*
Yes
No
9. How likely will you continue referring your patients to Yorkview Cardiology?*
Most Likely
Possibly
Unsure
Not Likely
10. Which EMR do you work with?*
Most Likely
Possibly
Unsure
Not Likely
11. How did you refer your patient(s) to us?*
Referral Pad
EMR
Fax
Email
Ocean eReferral
12. How did you hear about Yorkview Cardiology? (Select all that apply)*
Driving or Walking By
Email
Fax
Google Search
Letter
Other Healthcare Provider
Patient
Representative from Yorkview Cardiology
Requisition Form
Social Media
Additional Comments or Suggestions on How We Can Improve:
Permission to Use as a Promotional Material
I give Yorkview Cardiology permission to post my comments on promotional materials. By submitting this form, I agree to receive periodic E-mails about your free CME webinars, and the latest information about your services. I can unsubscribe at any time.
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