Information for Patients

Patient Response Form

Our goal during your visit to the VCU Medical Center Department of Radiology is to provide you or your family member with the highest standard of care available. We continue to enhance our service and one way we do that is by listening to the feedback of our patients.
*All fields required.
 
What kind of exam/procedure did you have?
Where was your exam/procedure performed?
When was your exam/procedure performed?

OVERALL IMPRESSIONS

Please rate your overall impression of this visit to the Department of Radiology.
Would you refer the Department of Radiology at VCU Medical Center to your friends or family?
If you answered No, please allow us to speak with you personally about your visit by including your contact information below. A radiology staff member will contact you to learn more about your experience.
Name
Phone
Best time to call

STAFF RECOGNITION

Is there a staff member you would like us to recognize for outstanding effort? Please share that employee’s name.
Please make any additional comments.

VCU Department of Radiology Virginia Commonwealth University VCU Medical Center