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Help & Feedback
Form Description
Feedback is typically reviewed Monday-Friday, 8am to 5pm.
Directions
Please fill in the information below. Use the scroll bar on the right to move down the page. When finished, click the
Send Feedback
button. (PeaceHealth Caregivers:
Request Content Updates Here
)
Questions marked with a
red *
require a response.
*
Name:
*
Your email address and/or phone number (required for a response):
*
Type of issue:
Select one
Broken link
Browser problem or Error message
Career, Jobs or Résumé [support desk (360) 729-1495]
Concern or Complaint
Content correction (incorrect spelling, missing information, wrong phone number)
Find a Doctor
Mobile App
My PeaceHealth (logon, password, other)
Usability or Navigation
Search, Can't locate
Suggestion or Compliment
WiFi issue
*
Issue Details - Include web page address:
(Please DO NOT enter confidential information here)
Medical Center
Select one
PeaceHealth Cottage Grove Community Medical Center - Cottage Grove OR
PeaceHealth Ketchikan Medical Center - Ketchikan AK
PeaceHealth Peace Harbor Medical Center - Florence OR
PeaceHealth Peace Island Medical Center - Friday Harbor WA
PeaceHealth Sacred Heart Medical Center at RiverBend - Springfield OR
PeaceHealth Sacred Heart Medical Center University District - Eugene OR
PeaceHealth Southwest Medical Center - Vancouver WA
PeaceHealth St. John Medical Center - Longview WA
PeaceHealth St. Joseph Medical Center - Bellingham WA
PeaceHealth United General Medical Center - Sedro-Woolley WA
Referring Page URL
Referring Page Title
User Agent Diagnostic Information
User agent
IE Document Mode
Locale
Cookies enabled?
Flash enabled?
Screen Resolution
IP Address
