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Tell us about your experience. We want to know.

Did your visit meet your expectations? Tell us about it. We value your opinions and use your feedback to help shape future experiences at HealthPartners medical clinics. If your feedback is related to your care or safety, please contact your clinic immediately.

If it’s easier, you can also complete this feedback form in the following languages:

Hmong – Tsev kho mob daim ntawv nug tawm tswv yim
Somali – Guji halkan si aad ra'yigaaga u dhiibatid
Spanish – Formulario de opinión
Vietnamese – Bảng ý kiến phản hồi phòng khám bệnh

_{*All fields are required unless marked optional. Anonymous feedback is welcome.}

Comments

Reason for visit (optional)

Clinic location (optional)

Contact information:

First name (optional)

Last name (optional)

Address 1 (optional)

Address 2 (optional)

City (optional)

State (optional)

ZIP code (optional)

Email address (optional)

Example: example@healthpartners.com

Phone number (optional)

Example: 555-555-5555

Extension (optional)

Patient Name (if different than above) (optional)

Date of birth (optional)

Preferred contact method (optional)

phone

Would you like us to contact you about this? (optional)

Yes

Email address

Example: example@healthpartners.com

Phone number

Example: 555-555-5555