Feedback Form
Please use the form below for the following:
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Request feedback for a case
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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.