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Feedback Forms 
Physical Therapy Education Program

Use the following forms to submit feedback regarding the Physical Therapy program at Philadelphia College of Osteopathic Medicine.

Please use the Concerns Form to report any issues or complaints. Please use the Comments Form to report positive experiences with our program, students, faculty or staff.


Concerns Form

Use this form to report concerns, issues and complaints regarding the Physical Therapy program at PCOM Georgia. Your input will assist in program improvement.

There is a strict policy against retaliation toward any person completing this form. Your concern will be forwarded to the Chairperson of the Department of Physical Therapy or his/her designee for handling. Details about the concern or the person completing this form will not be provided to third parties unless written consent is provided.

Receipt of your concern will be acknowledged within 3 business days.

Select the date that the issue/event occurred

*Preferred method of contact


Comments Form

Use this form to let us know if you had a positive experience with our programs, students, faculty or staff members. Encouragement is appreciated!