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Rate My Physician
A form for patients to share information about their doctors and rate them in an honest way. This is intended to help give more accurate information about doctors to help patients make informed decisions about their care.
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Physician Name
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Your answer
City, State/Province, Country
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Your answer
Practice/Hospital Name
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Your answer
Rank on a scale 1-5
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Specialty
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Your answer
What did you see this doctor for?
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Your answer
How did this doctor treat you? Did you feel validated? Add any thoughts about the doctor here.
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Your answer
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