Comments and Concerns- Cameron County Public Health

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Please share your comments and suggestions below.

Please select the program in which the incident occurred.

Program Name (if unsure, briefly describe it).

Which of our offices

Which public health clinic?

Which WIC Clinic?

What is the nature of your complaint?

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Date and time of the incident

Date

Time

Who was involved? (Please include the employee's name, if known, or provide a brief description)

Describe the issue in detail:

Have you reported this issue before?

Who did you report the incident to?

Would or is

What resolution would you like to see? (Select one or provide a suggestion)

Other resolution.

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Additional comments or suggestions:

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