Welcome - Feedback Form

The World Trade Center (WTC) Health Program is dedicated to a positive experience for all members. We aim for constant improvement and want to hear from you.

Please use this form below to send formal feedback or complaints to the WTC Health Program directly.

Please do not use this form for immediate, personal support. This includes issues related to your application, WTC-related care, an appeal, etc.

Visit our Contact Us Contact Us page to see who to contact for these and other topics.

If you have a medical emergency, please call 911 or the emergency number for your current location. If you are in crisis, call or text 988.

Enter your name.

Enter your contact information.

Provide an email address where we can reach you. We will also send a confirmation to this email when your feedback is submitted.

The Program will communicate with you primarily by email. If you also provide your phone number, the Program may reach out by phone to gather additional information from you or to respond.

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Provide your feedback in the space below.

If you are a member, please provide any additional information that may help us in identifying you and responding to your feedback, such as your assigned Clinical Center of Excellence (CCE).

Please do not include sensitive information, including personal health information.

Please enter the below verification code in order to submit.

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You will receive a confirmation email upon submission. A WTC Health Program representative will respond within 5 business days. Feedback is reviewed several times per day Monday-Friday, except federal holidays.