Referrer Feedback

Referrer Feedback Form

Referrer Feedback

Do you find our staff professional and helpful when booking appointments ?

Yes

Mostly

When making appointments for your patient are you able to book an appointment within the time range you prefer ?

Yes

Mostly

Do you receive feedback from your patients regarding their experience with Advance Ultrasound ?

Yes

Sometimes

Comments

On a scale of 1 - 10 with 10 being the most positive, how would you rate the following from Advance Ultrasound

Clarity of your patient reports

Turnaround time of your patient reports

Consulation when required on your patient report

For our own records it would help us if you could include the following information

Your Full Name *

Practice Location *

Email Address *

Please leave this blank

Call (09) 277 4495
to make a booking

Referrer Information

Botany Junction

110 Michael Jones Drive, Flat Bush,
Auckland (Next to the Botany Junction Medical Centre)

Phone:

Fax:

(09) 277 4496

Open:

Monday to Friday from 8am
Late nights Mon - Thurs

Three Kings

532 Mt Albert Road, Three Kings Plaza,
Auckland (Next to Three Kings Accident and Medical Centre)

Phone:

Fax:

(09) 624 4298

Open:

Monday to Friday from 8:30am to 5:30pm