Medical Forms
William M. Hovis, MD - New Patient Information and History
Dr. W. David Hovis MD - Patient History
Dr. W. David Hovis MD - Patient Information
Patient Survey
Obtaining an appointment in a time frame to meet your medical needs.
Excellent
Good
Fair
Poor
Were you called ahead of time to confirm your appointment?
Yes
No
Professional and friendly treatment by front office staff.
Excellent
Good
Fair
Poor
Professional and friendly treatment by administrative staff.
Excellent
Good
Fair
Poor
Professional and friendly service given by nurses/technicians/medical assistants.
Excellent
Good
Fair
Poor
Professional and friendly treatment by physicians
.
Excellent
Good
Fair
Poor
Explanation of your diagnosis and treatment directions.
Excellent
Good
Fair
Poor
How well your medical questions were answered.
Excellent
Good
Fair
Poor
Overall quality of care provided by the practice.
Excellent
Good
Fair
Poor
Explanation of billing questions.
Excellent
Good
Fair
Poor
The likelihood that you would recommend this practice to your family and/or friends.
Excellent
Good
Fair
Poor
If applicable, after your surgery did you receive a follow-up phone call from the clinic to check on your condition?
Yes
No
Which physician did you see?
What was the location of your visit?
How would you suggest we improve your medical care experience?