Feedback Form

Please use the form below for the following:

  1. Request feedback for a case

  2. Give UF-Jax feedback about:

  • Experience with ED staff in the Emergency Department
  • Experience with the JaxEMS Mobile website
  • Suggestions for future education programs

IMPORTANT: This is a non-secure site, please do not send any patient identifiers.  We welcome any feedback specific to patient care and may do so through personal communication.  If your comments are specific to a case, please leave your contact information and we will contact you.

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