The Kedzie Center Suggestion Box
We value your input and strive to be responsive to community needs. If there’s something you’d like us to address, please complete this short form and we’ll respond as soon as we can. Please note that this form is not for private information or clinical emergencies but for general suggestions for the clinic and it's services. Thank you.
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Your Name (optional)
Organization/Business affiliation (optional)
Your suggestion/concern/question *
Would you like us to respond or contact you? *
Email Address *
Phone Number (optional)
Neighborhood *
Is this a time-sensitive request? *
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