Step 1 of 3

How did we do?

Please fill out the following information so we can continually improve our service!
1. The home infusion pump was clean when it was delivered.*
2. The home infusion pump worked properly.*
3. The home infusion medications and supplies arrived before I needed them.*
4. I knew who to call if I needed help with my home infusion therapy.*
5. The response I received to phone calls for help on weekends or during evening hours met my needs.*
6. The home infusion nurse or pharmacist informed me of the possible side effects of the home infusion medication.*
7. I understood the explanation of my financial responsibilities for home infusion therapy.*