Use the four fields below to share your kudos and to provide the details of your experience. When done, click "Submit" to automatically send your note. Fields denoted by (*) are required to be completed - estimated answers are accepted.
1) Date of your experience:
2) Location:	Please select a campus, then enter the room and floor number if appropriate. Select "Other" if the correct campus location is not listed or if you are unsure.
Campus:	Alta Bates Campus - 2450 Ashby Ave., Berkeley Herrick Campus - 2001 Dwight Way, Berkeley Summit Campus, Merritt Pavilion - 350 Hawthorne Ave., Oakland Summit Campus, Providence Pavilion - 3100 Summit St., Oakland Summit Campus, Peralta Pavilion - 450 30th St., Oakland Other location:
Floor #
Room #
3) Department:	Which department were you in when you had a positive experience? If unsure, or if there was more than one, please select "Other."
	Patient-Care Departments Bariatric Care Program Behavioral Health Services Cancer Services Cardiovascular Services Chaplaincy - Spiritual Care Services Diabetes Center East Bay AIDS Center Emergency Department Services MPI Neurosciences Occupational Therapy Orthopedic Services Physical Therapy Physicians - Medical Staff Radiology Rehabilitation Services Skilled Nursing Facility Surgery Thunder Road Transportation Department Women and Infants Services Other    Non-Clinical Departments Administration Admitting Billing Services Business Services Cafeteria / Food Services Community Relations / Outreach Engineering Ethics Committee Foundation Gift Shops Health Match Physician Referral Housekeeping Human Resources Information Technology Lifeline Mail Services Marketing / PR / Creative Services Operators - Telephone Services Outpatient Pharmacy Parking and Shuttle Services Patient Relations Security Department Social Work Translation Services Volunteer Department Other
*4)Your Message: 300 words or less If possible, please include the name(s) of the individual(s) you want to thank. The more details you can provide the easier it will be to route your note to the appropriate individual(s).
Your Note of Thanks will be routed approximately 4-5 days after it is received. To send now, click "Submit."