Evidenced Based Care Program Feedback Form

We value your feedback, questions, comments or suggestions.

Program Coordinator/Education-Utilization Coordinator:		Administrative Assistant
	Andrea Rawn, RN		Julia Metzger
Email:		Email:
	arawn@gbhs.on.ca		jumetzger@hanoverhospital.on.ca
Office Phone Number:		Office Phone Number:
	(519) 364-2341 x 364		(519) 364-2341 x 363
Cell Number:
	(519) 374 9361
Fax:		Fax:
	(519) 364-6602		(519) 364-6602


Regular Mail:		Regular Mail:
	Andrea Rawn Coordinator/Education - Utilization Coordinator, Evidence Based Care Program Grey Bruce Health Network c/o Hanover and District Hospital 90-7th Avenue, Hanover, ON N4N1N1		Julia Metzger Administrative Assistant, Evidence Based Care Program Grey Bruce Health Network c/o Hanover and District Hospital 90-7th Avenue, Hanover, ON N4N1N1

Feedback Form

We welcome all feedback from anyone who has comments, suggestions, or questions about the Program or any of the individual pathways. All feedback will be considered and we will do our best to answer all questions.

Name: (required)
E-Mail Address: (required)

Pathway:
Acute Coronary Syndromes		Fractured Hip
Community-Acquired Pneumonia		Ischemic Stroke
Congestive Heart Failure		Total Hip Replacement
COPD		Vaginal Birth
Febrile Neutropenia		General Question/Comments

Feedback: