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Area visited(Required)

Main Hospital Campus (168 S. Howell St.)

McGuire & MacRitchie Skilled Nursing Facility

Outpatient Clinic/Location

Main Hospital Campus Service(s) Received(Required)

Admitting

Behavioral Health

Birthing Center

Cardiopulmonary

Critical Care Unit

Dietitian

Emergency Room

Infusion Clinic

Laboratory

Medical Records

Medical Surgical

Surgery

Pain Clinic

Pre-Admission Testing

Radiology

Wound Care

If applicable, please select the behavioral health subservice(s) visited

Inpatient

Outpatient

If applicable, please select the surgery subservice(s) visited

General Surgery

Bariatric Surgery

Orthopedic Surgery

Podiatric Surgery

Neurosurgery

Urology Surgery

Vascular Surgery

Other

McGuire & MacRitchie Skilled Nursing Facility Service(s) Received(Required)

McGuire Short-Term Rehab

MacRitchie Long-Term Care

Respite Care

PT/OT

Outpatient Clinic/Location Service(s)(Required)

Hillsdale Medical Supply/Home Oxygen

Three Meadows

Hillsdale Orthopedics & Spine Center

Hillsdale Health & Wellness

Hillsdale Medical Associates

Hillsdale Medical Associates Broad St.

Reading Health Clinic

Three Meadows Family Medicine

Virtual Visit

Please select the Three Meadows service(s) received(Required)

Tele-Neurology

Tele-Oncology

Physical, Occupational or Speech Therapy

Hidden Meadows OB-GYN

Hillsdale Podiatry

Hillsdale Surgical Group

Vascular Care

Urology

Pulmonology

Please select the Hillsdale Orthopedics & Spine Center service(s) received(Required)

Spine Center

Orthopedics

Please select the Hillsdale Health & Wellness service(s) received(Required)

Primary Care

Walk-In

Lab

Please select the Hillsdale Medical Associates service(s) received(Required)

Primary Care

Lab

Please select the Hillsdale Medical Associates Broad St. service(s) received(Required)

Primary Care

Lab

Please select the Reading Health Clinic service(s) received(Required)

Primary Care

Walk-In

Lab

Please select the Three Meadows Family Medicine service(s) received(Required)

Primary Care

Lab

Surgical Procedure Received:

Name

First Last

Phone

Date of Service

Month

Day

Year

Experience Rating

Did your caregiver(s) always introduce themselves to you?

5 – Excellent

4 – Very Good

3 – Satisfactory

2 – Fair

1 – Poor

Was staff friendly and helpful?

5 – Excellent

4 – Very Good

3 – Satisfactory

2 – Fair

1 – Poor

How would you rate the timeliness of your service?

5 – Excellent

4 – Very Good

3 – Satisfactory

2 – Fair

1 – Poor

What would be the overall rating of the care you received from us?

5 – Excellent

4 – Very Good

3 – Satisfactory

2 – Fair

1 – Poor

What could we have done to make your visit better?

Would you recommend this service to family and friends?

Yes

No

Undecided

Contact & Patient Testimonial

Hillsdale Hospital can contact me about sharing my positive experience as a patient testimonial.

I would like the patient advocate to contact me to discuss a quality or safety concern.

Patient email:

Also of Interest

Understand the Medical Billing Process
Diagnostic Procedure Price Transparency
Healthcare Providers in Hillsdale Michigan

Hillsdale Hospital

168 South Howell Street
Hillsdale, Michigan 49242
Phone: (517) 437-4451

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