DHS-INDIA : Feedback Form page


	ENQUIRY/FEEDBACK

FEEDBACK FORM: Please enter your feedback or queries and send!

The feedback sent through this form goes to contactus@dhs-india.com If you want to send descriptive email you can send it to this email address.

Type	Enquiry Suggestion Complaints Request
Name *
Email *
CARD Number
Address	(Address NOT required if card number is enter correctly) upto 250 characters
Phone/Mobile *	<< Only digits
Feedback *	upto 500 characters

HELP US TO SERVE YOU BETTER! Following Optional questionnaire will sure help us to help you and may just take another minute! Please try to select all items.
Time taken by our executives for following services.
1)	Receipt of cards
2)	Cashless Authorization
3)	Claims Reimbursement
Response to customer query
1)	By Call Center Executives
2)	By SMS
3)	By Email
4)	By our Customer Service Manager
About Services by Associated Banks.
•	ECS Facility / Cheque sent by bank.
About website
•	Information available on Website
About Associated Hospitals
•	Services Provided by Network Hospitals
If any of the services is poor/unsatisfactory, please mention why you think so. Please suggest how we can improve to serve you better.
upto 300 characters

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