Initial Letter English

20170921 Initial Letter_English_2017_OMB CLEAN.docx

Be the Match® Patient Services Survey

Initial Letter English

OMB: 0906-0004

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June 22, 2017



«First_Name» «Last_Name»

«Address1»

«Address2»

«City», «STATE» «Zip»


Dear «First_Name»,

We invite you to tell us about your recent contact (phone or email) with us, Be The Match® Patient Support Center. Please take 5 minutes to complete this survey.

Participating in this survey is voluntary. Your responses are confidential. We won’t link them to any identifying information, such as your name or email address.

Your participation will not affect your relationship with Be The Match.

If you prefer not to complete the survey, please leave the survey blank and return it in the pre-paid envelope.

If you have any questions about the survey or would like to speak to a BMT Patient Navigator for information and support, please contact the Patient Support Center at 1-888-999-6743 (toll free) or [email protected]

Si desea ayuda para traducir esta información, puede llamar a 1-888-999-6743 or [email protected]

Your feedback matters! With your input, we can make our programs and services as useful as possible for future bone marrow transplant patients and families.

Sincerely,

Debbie Jacobson

Manager, Patient Support Center

Direct phone: 763-406-8504

Toll free: 1 (888) 999-6743 x 7522

Email: [email protected]


OMB Number (0906-0004); Exp. 12/31/2017


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleOFFICE OF PATIENT ADVOCACY SURVEY
AuthorTammy Payton
File Modified0000-00-00
File Created2021-01-21

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