Thank you for choosing Providence Surgery Center for your outpatient procedure. Your satisfaction is very important to us. After your visit  you will receive a patient satisfaction survey. We hope you will fill out the survey and return it in the envelope provided. Please tell us how we did. All suggestions and comments are appreciated.

Thank you for your help,

Shelley Longgood, Administrator

GRIEVANCE POLICY

Submission and Investigation of Grievances

You have the right to have your verbal or written grievances submitted, investigated and to receive a written notice of the Center’s Decision.

The following are the names and/or agencies you may contact:

Providence Surgery Center

902 North Orange Street

Missoula, MT 59802

You may contact your state representative to report a complaint:

Montana State Auditor’s Office

840 Helena Avenue

Helena, MT 59601

(406) 444-2040

1-800-332-6148 (MT)

Sites for address and phone numbers of regulatory agencies:

Medicare Ombudsman Web site: www.cms.hhs.gov/center/ombudsman.asp

Medicare: www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227)