Feedback and Forms

  • Please print and complete the following forms and bring them to your appointment.

    Patient Demographics
    Office Policy Acknowledgment in English
    Office Policy Acknowledgment in Spanish
    HIPAA and Privacy Practices
    Wellness Visit Policy

    Looking forward to seeing you.

  • While we at GREENLEAF MEDICAL ASSOCIATES strive to meet patient needs, we recognize that at times there may be situations that arise where our staff’s performance could be better, or there may be other needs that we have not previously identified as things we could be doing that would enhance our services.

    We would also appreciate hearing about those things in our practice that you like, so we can continue serving you better. For that reason, we invite you to give us your feedback. Your input will be reviewed by our physicians and management.

    You may submit this anonymously, but for better tracking and follow-up, we encourage you to tell us who you are.

    Thanks for your input. Your satisfaction is important to us.

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