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Our Services
Cardiology
Diagnostic Imaging
Emergency/Critical Care
Internal Medicine
Interventional Radiology
Neurology
Oncology
Surgery
For Your Pet
Client Registration Form
Emergencies + Appointments
When Your Pet is a Patient
Client Portal
Pet Insurance
Payment Options
Grief Resources
Animal Blood Bank of Hawaii
Clinical Studies
For Veterinary Teams
Our Referral Process
Submit Referrals
At a Glance
Ethos Materials for Clinics
Continuing Education
VetBloom CE
Clinical Studies
Animal Blood Bank of Hawaii
About Us
Our Hospital
Our Team
Why Ethos
Ethos Discovery
Contact Us
Blogs
Our Blogs
PAWEDcasts
We’re Hiring!
Apply Today
Job Fair Events
Benefits and Perks
Veterinary Training Programs
24-HR ER: 808-735-7735
Veterinary Feedback
Veterinarian Feedback
We are committed to providing the highest level of care to your clients and patients. Please help us address concerns and continue to improve. We value your opinion and encourage you to please take a few moments to read and respond to the following survey.
Which VERC service did you use? Select all that apply.
*
Emergency/Critical Care
Cardiology
Diagnostic Imaging
Internal Medicine
Interventional Radiology
Surgery
Oncology
My patient and client received a high quality of care at VERC.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The reception staff was kind and courteous.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The referral form and process was clear and easy to complete.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The initial letter regarding my patient's care was clear and arrived in a timely fashion.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The staff clearly communicated with me regarding my patient's prognosis and care
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
The discharge letter for my patient was clear, and arrived in a timely fashion.
Strongly Agree
Agree
No Opinion
Disagree
Strongly Disagree
I would choose to refer to VERC again.
Yes
No
Please help us improve our service, what caused you to say no?
Comments/Suggestions for Improvements
Related Case Information
Date of Visit/Referral
Patient's Name
*
Client Name
*
Your Name
*
Referring Veterinary Clinic Name
*
Your Email
Name
This field is for validation purposes and should be left unchanged.
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