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Patient Satisfaction Survey
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Patient Satisfaction Survey
Pay My Bill
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Innovating Outcomes
Musculoskeletal Solutions
Orthopaedic Products
Delivery & Fitting
Customer Service
Billing Expertise
Orthotic and Prosthetic Care
About
About
Giving Back
Leadership Team
Contact
Locations
Careers
Orthopaedic Products
Orthopaedic Bracing
Foot Orthotics, Inserts, & Shoes
Prosthetics
Home Rehabilitation Machines
Orthopaedic Devices
CMF Bone Growth Stimulators
DVT Prevention
Pain Management Devices
Cold Therapy
Electrotherapy
sam Ultrasound Therapy
Mobility Aids
Patient Resources
Pay My Bill
Forms & Educational Materials
Accepted Insurances
Patient Satisfaction Survey
Product Feedback Surveys
Return Policies
Notice of Privacy Practices
Provider Resources
Innovating Outcomes
Musculoskeletal Solutions
Orthopaedic Products
Delivery & Fitting
Customer Service
Billing Expertise
Orthotic and Prosthetic Care
VCS – SSS Self Pay Poll
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VCS - SSS Self Pay Poll
VCS
Erica Tatko
Cathy Rose
Kathleen Ragsdale
Paula Purvis
Sam Sholler
Stephany Lang
Sue Mackey
Rx ID #
Instructions
Let the patient provide a number then select the range their answer falls within. If the patient is uncertain, you can guide their thoughts by providing the ranges listed.
Have you started PT? Do you know your co-pay?
Unknown
$0
$1-29
$30-59
$60-89
$90-119
$120+
Do you know how many covered visits you have for this rehabiliation?
Unknown
0-9
10-19
20-29
30-39
40-49
50+
Segway
This is not currently available but we have gotten some feedback indicating a desire and are hoping to gauge demand for future patients. Given your co-pay (or an average co-pay of $40 if unknown)...
Would you self-pay a weekly rental rate to extend use of the system for another week or so?
Not sure
Yes
No
What price range would be reasonable to you for an additional week?
$0-49
$50-99
$100-149
$150-199
$200+
Δ