Heart of America Medical Center your health. our passion.
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Heart of America Medical Center

Phone: 701-776-5455 (see Department Contacts for list of ext. numbers)
Fax: 701-776-5448
TDD: 701-776-5043

Heart of America Johnson Clinic - Rugby

Phone: 701-776-5235
Toll free: 800-235-0075

Heart of America Johnson Clinic - Dunseith

Phone: 701-244-5694
Fax: 701-244-5329

Heart of America Surgical Clinic

Phone: 701-776-7000
Fax: 701-776-7005

Mailing Address

800 South Main Avenue
Rugby, ND 58368

Heart of America Johnson Clinic - Maddock

Phone: 701-438-2555
Fax: 701-438-2551

Maddock Community Health Needs Survey
Please complete your survey by August 18th, 2014. Your participation is greatly encouraged and appreciated. Results will be presented to the public on September 10th at the Maddock Community Health Fair.




2. What is your highest level of education?

 
 
 
 
 
 





4. What is your current marital status?

 
 
 
 
 
 

* 5. What is your current employement status?

 
 
 
 
 
 
 
 

6. What is your households annual income level?

 
 
 
 
 
 
 
 






8. Do you consider your health to be:






9. When was your last physical examination?






10. When was your last dental examination?













12. Which best describes your ethnicity?

 
 
 
 
 

13. Do you use Maddock Clinic for your health needs?



















































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The HAMC radiology staff does a wonderful job. They make you feel comfortable and confident.
Bernie Howard, Rugby
Heart of America Medical Center      800 South Main Avenue      Rugby, ND 58368      Tel: 701.776.5261      Fax: 701.776.5448      TDD: 701.776.5043