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Thank you for allowing us to assist you. We appreciate all that you do to improve the lives of your patients on a daily basis. Feedback and suggestions are valuable to us and help us to improve our offerings. Your testimony allows other Illinois health care providers who have not used us yet to understand the value of what we do.

By filling out this form you acknowledge that we may use your testimonial in promotional materials such as on our website, flyers, e-mails and social media.

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Please describe your profession and where you work

for example: "I am a pediatrician in a small practice in Southern Illinois"
Which Illinois DocAssist Services have you used?
- Psychiatric consultation
- Treatment referral assistance
- Educational events and webinars
- Digital resources
- I haven't used any services yet
Please describe your overall experience using Illinois Doc Assist services.
What would make you use Illinois DocAssist even more or was there anything we could have done differently?
Would you recommend Illinois DocAssist to colleagues and why?
May we include your name and/ or practice name with your testimonial in our promotional communications? * Required
- You can use my name
- You can use my place of work
- Please keep my testimonial anonymous
Contact (Optional)
If it's ok for us to use your name with your testimonial, please provide your information below. If you would like for us to follow up with you, please provide your contact information.
Name
Place of work
Phone
Email address

IllinoisDocAssist (866) 986-2778

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University of Illinois at Chicago - Department of Psychiatry

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