Email Suggestion for Dr. Neighbors  
We provide email as a convenience.   If our office web site and email policy does not meet your privacy needs
contact us by phone, regular mail or just stop by to discuss your need with our friendly staff.
Our family practice serves one patient at a time and during your visit with us we sincerely hope to
have met your needs.  Did we fail to meet your expectations?  Did we keep you waiting too long?  We
appreciate comments that help us understand how our service measures up to your expectations.

You do not need to identify yourself on this form unless you choose to.

First name:
Last Name:
Date of Birth:
I have a comment about the service I was provided.
I have a question or comment about this web site.
I have another question or comment that is explained below.
Comments and Suggestions
I understand that this message will be sent by regular email and
accept Dr. Neighbors'
office email policy.