If you are seeking medical advice, please contact your doctor. General Internet communication is inherently not secure. For this reason, we highly recommend that data considered confidential or private in nature not be submitted on this form (e.g., Social Security Numbers, Diagnosis Information, Credit Cards Numbers, etc.). NOTE: Requests to be contacted by phone can take up to 2 business days for our staff to return. *Please note that Patient/Hospital Feedback forms are checked periodically, and responses generally take about one week. If you have questions or feedback that require more urgent attention, please utilize one of the other resources available.