Alliance Recovery Center: Current Patient Survey

Do not include your name as this is an anonymous survey

Alliance Recovery Center Location(Required)

Athens

Conyers

Decatur

Today's Date(Required)

Age(Required)

Counselor Name(Required)

Individual counseling sessions are helpful.(Required)

I understand medication assisted treatment (MAT) and the services offered at Alliance.(Required)

My concerns or questions were addressed effectively.(Required)

My information and education needs were met(Required)

I feel confident in the leadership of the organization.(Required)

I receive the information needed to coordinate care or participate meaningfully.(Required)

Staff and the organization are responsive to feedback if offered.(Required)

I am treated with dignity and respect by front office staff.(Required)

Services received from Nursing Staff are provided with dignity and respect and are efficient.(Required)

Services received from the Doctor are provided with dignity and respect(Required)

Services received from the Nurse Practitioner are provided with dignity and respect (Athens location only)(Required)

Services received from my Counselor are provided with dignity and respect.(Required)

The group counseling services I received were helpful to my recovery.(Required)

Services received during treatment have helped improve my quality of life.(Required)

Staff at this organization are well trained.(Required)

The facility is comfortable and clean.(Required)

Communication within the organization is effective.(Required)

I would recommend this organization to someone seeking MAT.(Required)

Comments Or Questions

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At Alliance Recovery Center any information you share with us remains completely confidential. We do not share information with third parties. Your confidentiality is protected under The Health Insurance Portability and Accountability Act of 1996 and The Code of Federal Regulations Title 42 Part 2.

Your information may be shared with a third party under three of the following circumstances:

A release of information is signed by you allowing Alliance Recovery Center to share information specified by you to a specifically identified third party.

In the event that you suffer a medical emergency while on our premises, medically relevant information will be shared with responding emergency personnel.

In the event that you commit a crime while on the property of Alliance Recovery Center or against Alliance Recovery Center, your identifying information may be shared with law enforcement.

If you have any questions about your privacy, please do not hesitate to contact us.

Alliance Recovery Center, Decatur

Alliance Recovery Center, Conyers

Alliance Recovery Center, Athens

Alliance Recovery Center: Current Patient Survey

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Copyright 2007- Alliance Recovery Center

Alliance Recovery Center, Decatur

Alliance Recovery Center, Conyers

Alliance Recovery Center, Athens

Alliance Recovery Center: Current Patient Survey

Anti-Spam Question

Primary Contact

Privacy Policy

Copyright 2007-document.write( new Date().getFullYear() ); Alliance Recovery Center

Copyright 2007- Alliance Recovery Center