Location of complaint
Please indicate the location involving your complaint.
Bluestem Health Main Location 1021 N 27th St
Health 360 2301 O Street
Thompson Clinic 2222 S 16th St STE 435
Date of Complaint
First and Last Name
Date of Birth
Contact Phone Number
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.