Patients

Feedback Form

If you are a physician or health care provider who would like to provide feedback to DSM, please go to the Medical Practitioner Feedback Page.

If you are a patient who would like to provide feedback to DSM, please fill in the electronic form below. Alternatively, you can fill out a PDF version of the form and e-mail or fax it to us. Please click here for the PDF version of the form: Fillable Patient Feedback Form (PDF)Fillable Patient Feedback Form (French) (PDF)