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Patient Feedback Form

Sansum Clinic is dedicated to providing high quality patient care, and we would like to know how we’re doing. We invite you to share your compliments, comments, complaints and concerns with us. Sansum Clinic uses this information to improve the services and care that we provide our patients.

Send us your comments using the form below, or use our simple Share Your Story feature to help, inspire and inform others.

If you need more information about your visit or have questions about the care you received at Sansum Clinic, or wish to send a private message directly to your doctor's office, please Sign In to MyChart or Contact the Location where you receive your care.

If you have general questions about medical conditions, treatments or need other health information or insurance assistance, please visit our Health Resource Center or Ask a Librarian. Trained volunteers are available to answer your non-urgent medical questions.

Learn more about your healthcare coverage and the Insurance Plans & Healthcare Networks that we accept, or review the Policies that we have in place to protect your privacy and comfort.

For other matters, please submit the form below or download our Sansum Clinic Patient Feedback Form. You may print the PDF, complete the form and mail it to our Quality Management Department at P.O. Box 6366, Santa Barbara, CA 93160-9910.

 

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