Please fill out our patient survey.

We Value Your Opinion - Please Participate In Our Patient Satisfaction Survey!

Thank you for entrusting the providers and staff of Douglas Women’s Center with your healthcare needs! As part of our ongoing effort to provide you with service excellence at every level, we invite you to complete our Patient Satisfaction Survey. If we have failed to meet your expectations, please let us know. If you have positive feedback to share, we would love to hear that as well! Your responses will be reviewed by our administrator, and care will be taken to address any concerns you may have.

We appreciate your participation!

Fields marked with * are mandatory

* Provider Seen:

Ease in making appointment:

Was staff courteous &
professional?:

Was nurse informative &
friendly?:

Did nurse prepare you
for exam?:

Was visit with provider
positive?:

Treatment instructions understood?:

Were all your questions
answered?:

Was facility clean &
professional?:

Would you refer us
to a friend?:

Please explain any "no"
answers or feel
free to share
your thoughts or
comments on how
we can improve our services to you.:

* Identification Code

Douglas Women's Center, PC
880 Crestmark Drive, Suite 200
Lithia Springs, GA 30122

Phone: 770-941-8662
Fax: 770-739-6006

Monday – Friday
8 a.m. – 5 p.m.

Payment Options. Mastercard, Visa, American Express, Discover, Cash, Check.

**Accept Most Insurance**

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