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​Thank you for giving us an opportunity to serve you. If there is an area where we can do better, please let us know by using the form below.

If our service has put a smile on your face, we would love to hear from you as well. Your time taken to distinguish our staff is greatly appreciated, and your encouragement will motivate our staff to do even better.

Please provide us with the complete information so that you may get a more timely response.

Your information will remain confidential. For more details on how you information will be used, please refer to our personal data protective act.


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Select one of the following:

Please let us know which institution you have visited.

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and suggestions here

Please provide your particulars.

Name
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As you are not the patient, please provide the required fields below.

Relationship to the patient
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