iCare Operational Issue Form | THOSE WHO CARE

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THOSE WHO CARE

iCare OPH Operational Issue Log

Please complete the subsequent form to document any operational issues that you are encountering. Reach out to rodriguezroberts@thosewhocare.co with any questions you have regarding submission of the form.

Which department do you work in?

Please enter your own Email

Please indicate the Location

What issue are encountering?

If you have answered "Other issue" please specify

Do you have any suggestions to fix the issue?

How much extra time did you have to spend fixing this issue versus helping patients?

How many times does this happen?

Current Date

Current Time

Thanks for sharing your issue with us!

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