Hospital Feedback Form

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Hospital Feedback Form

Name

Unit #

Hospital

Incident Number

Staff Name

Room Number Patient was Transferred to

Date

Time

Did you contact EMS 24?

Did you notify your Captain?

Do you want EMS to follow up with you?

Narrative

Concerns or comments?

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10545 Armstrong Ave., Suite 200
Mather, California 95655-4102

Monday - Friday 8:00 AM - 5:00 PM

Phone: (916) 859-4300

Fax: (916) 859-3702

Home
Resident
Business
- Requests for Proposals/Bids
- Request a Report
Risk Reduction
For Kids
About Us
How Do I

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Sacramento Metropolitan Fire District (the "District") is committed to ensuring that its services are accessible to all members of the public. As part of this commitment, the District strives to provide an accessible website compatible with the Web Content Accessibility Guidelines (WCAG) version 2.1, AA, and commercial screen reading software. Features of the website are created to allow individuals with vision and other impairments to understand and use the website to the same degree as someone without disabilities.