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Patient Feedback Form (Practice Level Engagement VBR)

Your doctor or primary care team may have referred you to this page to provide feedback on a handout or web tool used in your diabetes management and care.
This form should take 1-3 minutes to complete and will ask you to rate and review the tool you used.
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A nonprofit and independent licensee of the Blue Cross Blue Shield Association

Support for The Michigan Collaborative for Type 2 Diabetes (MCT2D) is provided by Blue Cross Blue Shield of Michigan as part of the BCBSM Value Partnerships program.

Although Blue Cross Blue Shield of Michigan and MCT2D work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.