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Share a Compliment

Would you like to share a compliment or recognize an individual or department at Simi Valley Hospital? Use our online form to show you care. To ask questions or send feedback, use our online feedback form.

*Required fields

Name of Individual
You'd Like to Recognize*
Department Where
Person Works*
Your Comments *
Your Name
Email
Phone
Address
City
State
  Zip

I am a:
(please choose one)

Patient
Visitor/Guest
Employee
Volunteer
Physician
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PLEASE NOTE: We cannot guarantee the confidentiality of any personal information you provide via this Web site. However, we do respect your privacy and will share your message only with those who are mentioned in your compliment, their supervisors and anyone else we feel should have this information.