RETURN iPAD:
Please fill out the following to return the iPad.
Did you use a telehealth service (e.g., Express Care Online, Quality Care Associates, First Settlement Physical Therapy, etc.)?
YES
NO
Location of iPad?
MMS
MHS
Where would you have gone today if you didn't have this option?
Choose an option
Emergency Room
Urgent Care Clinic
Primary Care Clinic
TeleHealth using another device (e.g., home computer, smartphone, etc.)
I would not seek care.
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Submit
Thanks for submitting!