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.)?
Location of iPad?
Job and Family
Where would you have gone today if you didn't have this option?
Choose an option
Urgent Care Clinic
Primary Care Clinic
TeleHealth using another device (e.g., home computer, smartphone, etc.)
I would not seek care.
I did not need care today.
Thanks for submitting!