Date
None of the above
Other
Select
Complainant ID
Taken By
Date
Time
Source
Patient Name
Team
Patient ID
Relationship
Relationship Desc
Phone Number
Best Call Time
Physician
Hospital
Address
Select
10025
a
12/19/2006 12:00:00 AM
10/3/2007 3:56:44 PM
c
b
none
Pt
1234567890
none
Select
10026
Pooh bear
12/20/2006 12:00:00 AM
12/20/2006 12:51:07 PM
Christopher Robin
Rabbit
none
Family
1002004000
none
Select
10027
Archie
12/20/2006 12:00:00 AM
12/20/2006 12:52:15 PM
Mr. Weatherby
Veronica
Red Team
Other
Principal
4567895566
none
Select
10028
Jeff
12/29/2006 12:00:00 AM
12/29/2006 10:20:02 AM
Mother - Jean
Patient Jim
Red Team
12354654
Family
1112223333
after 5:00
Dr Jim
St. John
Select
10029
Margaret ADrain
1/3/2007 12:00:00 AM
1/3/2007 2:02:47 PM
MD
Sue Jones
Blue Team
Family
3334444444
Dr. Smith
none
444 K Street
Select
10030
K Skaar
1/5/2007 12:00:00 AM
1/5/2007 10:44:39 AM
pt
Millie Maximum
Red Team
Pt
2485555555
afternoon
Dr Smith
none
pt address
Select
10031
Hans
3/20/2007 12:00:00 AM
3/20/2007 12:35:51 PM
Husband
Diane
Black
Family
7349530408
Beaumont
Select
10033
hans
9/18/2007 12:00:00 AM
9/18/2007 1:48:46 PM
Home
Father
none
Pt
7345551212
none
Select
10034
Hane
9/18/2007 12:00:00 AM
9/18/2007 1:55:08 PM
Email
Diane
none
Pt
5555551212
none
Select
10035
HAns
9/18/2007 12:00:00 AM
9/18/2007 1:57:14 PM
Snail Mail
Adam
none
Pt
5555551212
none
Select
10036
Hans
9/18/2007 12:00:00 AM
9/18/2007 2:04:22 PM
Blackboard
Mike
none
Pt
5555551212
none
Select
10037
Hans
9/18/2007 12:00:00 AM
9/18/2007 2:26:04 PM
IM
Dave
none
Pt
5555551212
none
Select
10038
Hans
9/18/2007 12:00:00 AM
9/18/2007 2:30:12 PM
phone
Mother
none
Pt
5555551212
none
Select
10039
Hans
9/18/2007 12:00:00 AM
9/18/2007 2:44:11 PM
555
Heidi
none
Pt
5555551212
none
Select
10040
hhh
9/18/2007 12:00:00 AM
9/18/2007 2:46:24 PM
22
hhh
none
Pt
5555551212
none
Select
10041
HAns
9/18/2007 12:00:00 AM
9/18/2007 2:50:43 PM
qqq
Pop
none
Pt
5555551212
none
Select
10042
HAns
9/18/2007 12:00:00 AM
9/18/2007 2:52:24 PM
TV
Granny
none
Pt
5555551212
none
Select
10043
habns
9/18/2007 12:00:00 AM
9/18/2007 3:40:04 PM
65564
Mills
none
Pt
5555551212
none
Select
10044
fdgdf
9/18/2007 12:00:00 AM
9/18/2007 3:41:49 PM
fgds
sss
none
Pt
qqqqqqqqq
none
Select
10045
zzz
9/18/2007 12:00:00 AM
9/18/2007 3:45:01 PM
www
aaa
none
Pt
qqqqqqqqq
none
Select
10046
qqqq
9/18/2007 12:00:00 AM
9/18/2007 3:46:28 PM
yyyy
wwww
none
Pt
eeerrrtttt
none
Select
10047
11111
9/18/2007 12:00:00 AM
9/18/2007 3:49:53 PM
44444
22222
none
Pt
3333333333
none
Select
10048
zz
9/18/2007 12:00:00 AM
9/18/2007 3:58:11 PM
ccc
zz
none
Pt
xxx
none
Select
10055
1
9/19/2007 12:00:00 AM
9/19/2007 1:15:08 PM
1
1
none
Pt
111
none
Select
10056
2
9/19/2007 12:00:00 AM
9/19/2007 1:16:22 PM
2
2
none
Pt
222
none
Select
10057
3
9/19/2007 12:00:00 AM
9/19/2007 1:17:23 PM
3
3
none
Pt
333
none
Select
10058
3
9/19/2007 12:00:00 AM
9/19/2007 1:18:51 PM
3
3
none
Pt
333
none
Select
10059
4
9/19/2007 12:00:00 AM
9/19/2007 1:48:33 PM
4
4
none
Pt
444
none
Select
10060
5
9/19/2007 12:00:00 AM
9/19/2007 1:49:25 PM
5
5
none
Pt
555
none
Select
10061
6
9/19/2007 12:00:00 AM
9/19/2007 1:53:23 PM
6
6
none
Pt
666
none
Select
10062
7
9/19/2007 12:00:00 AM
9/19/2007 1:55:58 PM
7
7
none
Pt
777
none
Select
10063
8
9/19/2007 12:00:00 AM
9/19/2007 1:56:39 PM
8
8
none
Pt
888
none
Select
10064
9
9/19/2007 12:00:00 AM
9/19/2007 1:57:22 PM
9
9
none
Pt
999
none
Select
10065
10
9/19/2007 12:00:00 AM
9/19/2007 2:01:03 PM
10
10
none
Pt
101010
none
Select
10066
11
9/19/2007 12:00:00 AM
9/19/2007 2:02:58 PM
11
11
none
Pt
111111
none
Select
10067
12
9/19/2007 12:00:00 AM
9/19/2007 2:06:03 PM
12
12
none
Pt
121212
none
Select
10068
13
9/19/2007 12:00:00 AM
9/19/2007 2:07:51 PM
13
13
none
Pt
131313
none
Select
10069
14
9/19/2007 12:00:00 AM
9/19/2007 2:10:11 PM
14
14
none
Pt
141414
none
Select
10070
15
9/19/2007 12:00:00 AM
9/19/2007 2:11:23 PM
15
15
none
Pt
151515
none
Select
10071
16
9/19/2007 12:00:00 AM
9/19/2007 2:13:27 PM
16
16
none
Pt
161616
none
Select
10072
17
9/19/2007 12:00:00 AM
9/19/2007 2:16:08 PM
17
17
none
Pt
171717
none
Select
10073
18
9/19/2007 12:00:00 AM
9/19/2007 2:18:22 PM
18
18
none
Pt
181818
none
Select
10074
19
9/19/2007 12:00:00 AM
9/19/2007 2:19:30 PM
19
19
none
Pt
191919
none
Select
10075
20
9/19/2007 12:00:00 AM
9/19/2007 2:21:22 PM
20
20
none
Pt
202020
none
Select
10076
21
9/19/2007 12:00:00 AM
9/19/2007 2:28:07 PM
21
21
none
Pt
212121
none
Select
10077
22
9/19/2007 12:00:00 AM
9/19/2007 2:30:22 PM
22
22
none
Pt
222222
none
Select
10078
23
9/19/2007 12:00:00 AM
9/19/2007 2:31:34 PM
23
23
none
Pt
232323
none
Select
10079
24
9/19/2007 12:00:00 AM
9/19/2007 2:32:06 PM
24
24
none
Pt
242424
none
Select
10080
24
9/19/2007 12:00:00 AM
9/19/2007 2:40:44 PM
24
24
none
Pt
242424
none
Select
10081
25
9/19/2007 12:00:00 AM
9/19/2007 2:47:52 PM
25
25
none
Pt
252525
none
Select
10082
26
9/19/2007 12:00:00 AM
9/19/2007 3:00:34 PM
26
26
none
Pt
262626
none
Select
10083
27
9/19/2007 12:00:00 AM
9/19/2007 3:02:46 PM
27
27
none
Pt
272727
none
Select
10084
28
9/19/2007 12:00:00 AM
9/19/2007 3:03:27 PM
28
28
none
Pt
282828
none
Select
10085
27
9/19/2007 12:00:00 AM
9/19/2007 3:59:57 PM
27
27
none
Pt
272727
none
Select
10086
28
9/19/2007 12:00:00 AM
9/19/2007 4:01:37 PM
28
28
none
Pt
282828
none
Select
10087
29
9/19/2007 12:00:00 AM
9/19/2007 4:03:07 PM
29
29
none
Pt
292929
none
Select
10088
30
9/19/2007 12:00:00 AM
9/19/2007 4:04:04 PM
30
30
none
Pt
303030
none
Select
10089
31
9/19/2007 12:00:00 AM
9/19/2007 4:05:13 PM
31
13
none
Pt
133131
none
Select
10090
32
9/19/2007 12:00:00 AM
9/19/2007 4:06:18 PM
32
32
none
Pt
323232
none
Select
10091
33
9/19/2007 12:00:00 AM
9/19/2007 4:07:13 PM
33
33
none
Pt
333333
none
Select
10092
34
9/19/2007 12:00:00 AM
9/19/2007 4:08:17 PM
34
34
none
Pt
343434
none
Select
10093
35
9/19/2007 12:00:00 AM
9/19/2007 4:09:31 PM
35
35
none
Pt
353535
none
Select
10094
36
9/19/2007 12:00:00 AM
9/19/2007 4:27:03 PM
36
36
none
Pt
363636
none
Select
10095
37
9/19/2007 12:00:00 AM
9/19/2007 4:28:10 PM
37
37
none
Pt
373737
none
Select
10096
38
9/19/2007 12:00:00 AM
9/19/2007 4:29:43 PM
38
38
none
Pt
383838
none
Select
10097
39
9/19/2007 12:00:00 AM
9/19/2007 4:35:19 PM
39
39
none
Pt
393939
none
Select
10098
40
9/19/2007 12:00:00 AM
9/19/2007 4:40:37 PM
40
40
none
Pt
404040
none
Select
10099
41
9/19/2007 12:00:00 AM
9/19/2007 4:45:37 PM
41
14
none
Pt
144141
none
Select
10100
42
9/19/2007 12:00:00 AM
9/19/2007 4:48:10 PM
42
42
none
Pt
424242
none
Select
10101
43
9/19/2007 12:00:00 AM
9/19/2007 4:54:10 PM
43
43
none
Pt
434343
none
Select
10102
44
9/19/2007 12:00:00 AM
9/19/2007 4:58:05 PM
44
44
none
Pt
444444
none
Select
10103
45
9/19/2007 12:00:00 AM
9/19/2007 4:59:23 PM
45
45
none
Pt
454545
none
Select
10104
47
9/19/2007 12:00:00 AM
9/19/2007 5:03:44 PM
47
none
Pt
474747
none
Select
10105
48
9/19/2007 12:00:00 AM
9/19/2007 5:13:59 PM
48
48
none
Pt
484848
none
Select
10106
49
9/19/2007 12:00:00 AM
9/19/2007 5:14:55 PM
49
49
none
Pt
494949
none
Select
10107
2
9/19/2007 12:00:00 AM
9/19/2007 5:22:02 PM
2
2
none
Pt
222
none
Select
10108
50
9/19/2007 12:00:00 AM
9/19/2007 5:24:51 PM
50
05
none
Pt
505050
none
Select
10109
51
9/19/2007 12:00:00 AM
9/19/2007 5:27:16 PM
51
51
none
Pt
515115
none
Select
10110
52
9/19/2007 12:00:00 AM
9/19/2007 5:28:30 PM
52
52
none
Pt
525252
none
Select
10111
53
9/19/2007 12:00:00 AM
9/19/2007 5:40:19 PM
53
53
none
Pt
535353
none
Select
10112
54
9/19/2007 12:00:00 AM
9/19/2007 5:42:01 PM
54
54
none
Pt
545454
none
Select
10113
55
9/19/2007 12:00:00 AM
9/19/2007 5:45:01 PM
55
55
none
Pt
555555
none
Select
10114
HAns
9/28/2007 12:00:00 AM
9/28/2007 4:33:48 PM
s
Mills
none
Pt
9998887777
none
Details
Add as many details as necessary
Billing Issue
Charges unreasonable
Insurance denial claim
Finance
Equipment delivery
Equipment failure
Supplies delivery
Equipment Supplies
Delayed response
Late arrival
No show
Not knowing when next visit is
Phone system concerns
Poor communications
Rude/unprofessional
Staff come too often
Same discipline -different staff
Staff do not come often enough
Service Delivery/Scheduling