Submittor Information Name: Phone Number: Email Address: County ...

Download PDF
0 downloads 175 Views 33KB Size Report
Comment
Oct 21, 2015 - Name: Phone. Number: Email. Address: County: Price Gouging Experience: I went into the ER with a kidney s
To : pi t alCommi ssi on[ f l hospi t al commi ssi on@ahca . myf l or i da. com]

Fl or i daHos Fr o m: Se nt : 2 1/ 2 0152 : 47: 2 0AM

Wed10/ Nor mal

I mp o r t a nc e : S ub j e c t : Repor i ceGougi ngSubmi t t al( AHCAPHI )

tPr 2 1/ 2 0152 : 47: 2 5AM

MAI L _RECEI VED: Wed10/

Submi t t o rI nf o r ma t i o n

Na me : Pho ne Numbe r :

Ema i l Addr e s s : Co unt y : Pr i c eGo ug i ngEx pe r i e nc e :

nt i nt ot heERwi t haki dne y

Iwe s t onea ndha dt oha ves ur ge r yt o

e nt pl a c e da ndl a t e rha d

ha veaSt o c o m e b a c k f o r s u r g e r y t o h a v e

t r e move d.Af t e rmys ur ge r yI

i t we nt ba c kt ot heERt he ys a i d

i nec ul t ur ec a meba c k

myur t a f fi nf e c t i on.Iha d

gr owi ngs i ns ur a nc ebut i t wa sf or

a t i vec a r eonl ya ndnow

pr e ve nt e f t wi t hove r$40, 000wor t h

I ' ml di c a lbi l l sa t t hea geof28 .

ofme