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Home Patients & Visitors Information For Patients Patient Feedback Gratitude Satisfaction Form

Patient Feedback: Express Your Gratitude

Has your life, or the life of a loved one been touched by UCI Health? We invite you to share your experience as a way to celebrate and voice gratitude to our exceptional healthcare providers and dedicated team members.

By clicking the "SUBMIT" button below, you are agreeing that no compensation of any kind will be provided or expected in exchange for the distribution of your experience. Additionally, your story will be shared by email communications, media platforms, as well as print publications within the UCI Health organization.

Gratitude Satisfaction Form

Thank you

Thank you for taking the time to share your experience with us. 

For additional assistance, please call the Office of Patient Experience at 714-456-7004 or email healthexperience@uci.edu.