Referring Physician Survey

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Note: Survey must be site specific.

Please answer the following questions regarding your experience with the above facility by filling in the blank or circling the number that best describes your answer.

Thank you for Participating in this survey. Please return the survey in the envelope provided.

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Due to the COVID 19 outbreak, the following is effective immediately at Carmit Diagnostic Imaging:

To keep our staff and patients safe from COVID 19 we are actively engaged in the following:

Thank you for your cooperation.

Sincerely,

Carmit Management.