Notice: Solar construction project in progress!
Parking lots B and C are closed during phase 1. Patients and visitors, please plan to arrive early and use parking lots D, E, I, F2 and G.

PATIENT EXPERIENCE

Natividad is committed to quality care and our goal is for you to have a great experience while you are here. We want to make sure your requests or preferences are addressed during your stay. We welcome your comments, recommendations, and/or concerns.

Patient Experience

  • MM slash DD slash YYYY
    Date *
  • Room No./Department
  • Patient Last Name *
  • Patient First Name *
  • M.I.
  • MM slash DD slash YYYY
    Date of Birth *
  • Patient Address
  • City
  • State
  • Zip Code
  • Patient Phone Number *
  • Patient Email Address
  • Physician/Nurse/Employee
  • Person Completing Form
  • Relationship to Patient
  • * Required Field