The staff at the Pulmonary Department provided care for the patient and want feedback on their experience. The summary lists the roles of each staff member who assisted the patient, from check-in to check-out and their pulmonary tests and education. The department requests the patient complete a survey about their visit to help improve care and for any follow up questions the patient can contact the Pulmonary Department.

1. Welcome to the Pulmonary Department
Thank you for allowing us to care for you today.
The followingstaff helped with your care:
Patient Service Rep/Check-in:__________________________________________________________
Medical Assistant/Rooming:___________________________________________________________
Nurse:_____________________________________________________________________________
Pulmonary Function/breathingtest:_____________________________________________________
Pulmonary Education:_________________________________________________________________
Physician/Provider:___________________________________________________________________
Patient Service Rep/Check-out:__________________________________________________________
We care about your opinion so that we may better serve you.
You mayreceive a surveyconcerning your visit today. We want to exceedyour expectations everyvisit! Tell us what you think
about today’s care. We wouldappreciate your feedbackbycompleting the survey. Thank-you.
If you have anyquestions about your visit, please contact the PulmonologyDepartment at (XXX) XXX-XXXX