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Patient Compliment and Suggestion Form

The New York City Department of Health and Mental Hygiene reviews compliments related directly to patient care and services that are provided in the clinics and home visiting programs. Submit a compliment or suggestion about the treatment you received you may do any one of the following:

1. Call 311

2. Submit the form on this page.

3. Fill out a physical form and mail it to: New York City Department of Health and Mental Hygiene Division of Administration Office of Clinical Quality Management and Improvement 42-09 28th Street, CN 45A Long Island City, New York 11101
1.Would you like to be contacted regarding your feedback today?
2.Clinic Name
3.Department Visited(Required.)
4.What area of focus most impacted your rating today?(Required.)
5.Describe your experience in as much detail as you wish.
Thank you so much for your feedback!
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