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The California Health and Human Services Agency and the Department of Managed
Health Care would like to provide you with the best possible service and your
input is vital to our success. Please help us serve you and others better by
taking a few minutes to answer the questions below. Thank you for responding.
What was the nature of your contact with us?
Please indicate the name(s) of any staff person you would like to
Please use text only. HTML codes or links are not accepted.
If you feel we fell short in meeting your service expectations, please
describe the situation, including name of the staff person involved and the date
the incident occurred.
As a result of your experience with us, what service-related
improvements can you recommend?
If you would prefer to print out this survey form and mail it to us
Shelley Rouillard, Director
California Department of Managed Health Care
Attn: Customer Survey
980 9th Street, Suite 500
Sacramento, CA 95814-2725
Voice: (916) 324-8176
FAX: (916) 322-9430
California Health and Human Services Agency