Patient Feedback Select a Location Cary Chapel Hill Fuquay-Varina Garner Holly Springs Knightdale Panther Creek Raleigh Smithfield Wake Forest Wakefield WAKE RADIOLOGY UNC REX HEALTH We’re committed to growing through candid comments – both compliments and suggestions. *This patient feedback form is monitored Monday – Friday, 8:30am – 5:00pm. Your Contact InformationYour Name*Date of Birth (mm/dd/yyyy)Name (if different than patient)Relationship to PatientYour Email Address* Phone(Privacy Statement)Your FeedbackLocation of Service---North Hills Diagnostic ImagingNorth Hills Breast CenterRaleigh MRI CenterCary Diagnostic ImagingCary Breast CenterCary - Interventional Services & Vein CenterCary - PET-CTCary MRISmithfieldWest Raleigh Diagnostic & Sports ImagingWest Raleigh Breast ImagingPediatric ImagingNorth RaleighChapel HillGarnerFuquay-VarinaMorrisville Women's ImagingWake Forest Diagnostic ImagingWake Forest MammographyEmployee Name of ConcernCompliment or ComplaintSuggestion for improvement in service and/or what you feel we should doWould you like to be contacted to discuss this?YesNoContact byPhoneEmailPhoneThis field is for validation purposes and should be left unchanged. Δ
