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Patient Feedback Requested – University of Michigan

Have you been seen at the University of Michigan in the past year for pheo para? This center has a Center of Excellence designation from the Pheo Para Alliance. Take this short survey about your experience.

Patient Feedback Form

    Indicate all that apply. If you choose, 'not yet diagnosed', the other options cannot be selected.
  • Date Format: MM slash DD slash YYYY
    Approximate date is ok.
    Check all that apply.
  • PROVIDING YOUR NAME AND EMAIL IS ENTIRELY OPTIONAL. By providing your contact information, you agree to allow us to follow up with you regarding your feedback. This information will not be shared with the facility.
  • Optional
  • This field is for validation purposes and should be left unchanged.