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Concerns and Suggestions

Patients, staff members, visitors and anyone else who has a concern or suggestion should complete this form and return it Grant Regional Health Center.

You can download the form here and deliver it:

  1. In person (deposit in the suggestion box at entrances to the hospital)
  2. By mail to:
    Grant Regional Health Center
    Attn: Quality Improvement Department
    507 S. Monroe St,
    Lancaster, WI 53813

You can also complete the form below and submit it to the quality office.

Name

Address

City

State

ZIP

E-mail

Phone

Please provide a detailed explanation of your experience, observation, concern and/or suggestion.