Patient Feedback

At Cooper Clinic, we take pride in our doctors, our services, and our relationship with our patients. Your opinion matters, and that’s why you are encouraged to share your experience with us, whether it’s a compliment or a concern.

Please note:

  • This form will be sent to the Administrative Offices (not the physicians) of Cooper Clinic.
  • Due to privacy issues, your comments/questions may not be replied to via email.
  • If your comments require a response, we will do so as soon as we are able to collect adequate information regarding your concern.
  • This form cannot be used to discuss any medical issues, request prescription refills, test results, appointments, employment application status, or discuss your account.
  • This form cannot be used to communicate with your doctor’s office or for urgent communications.
  • If you are currently experiencing a health emergency, call 911 immediately or go to a hospital emergency department.

Please complete this form

  • Please note: email is not a secure medium and privacy cannot be ensured. Depending on the nature of your concern, email may not be appropriate for our response.