This page contains the Children's Clinic
Patient Survey form that you may submit electronically.
We value all comments you provide to us.
All information provided will remain confidential.
►Please Note:
- ANY SUBJECT RELATED TO PATIENT CARE must only be discussed in-person or on the phone with our staff and providers by calling
(610) 376-8691.
- WE WILL NOT RESPOND to any comment about PATIENT CARE!
- DO NOT use this non-secure online form for any comments or questions about patient care.
- DO NOT include on this non-secure online form any private information such as health insurance policy numbers, social security numbers, etc., that need to be protected by you.
- ANY SUBJECT RELATED TO PATIENT CARE must only be discussed in person or on the phone with our staff and providers.
Thank you for your input!
---> Click HERE and Proceed to Patient Survey form
