Portal User Feedback Form

Portal User Feedback Form

Do you have feedback on the development of the Health Care Interpreter Scheduling Portal? Want to be involved? Let us know here.

Name*

Email address

Would you like to be more involved?

Yes

Company and role (if applicable)

Location

Select or enter value

Today's date

Workplace/Reason for interest*

Select or enter value

Type of Clinic/Specialty

Suggestion for portal*

Send me a copy of my responses

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