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Name
Email
(optional)
Select the most important reason(s) you chose Patient Choice.
No Insurance
High Deductible
Overall Pricing
Location
Convince
Staff Credentialing
How did you hear about us?
Television
Magazine
Friend
Physician
Internet (Google, facebook, etc)
Store-front
Snail-Mail
Would you be willing to participate in testimonial advertising for PCU in the future?
Can be anonymous if desired.
Yes, I would!
No thank you.
