TETAF/Texas Perinatal Services Verification Survey Grievance Form TETAF Verification Survey Grievance Form Hospital Name*Hospital Address*Contact Name*Contact Email*Contact Phone*Type of Survey (Trauma, Stroke, NICU, Maternal)Designation LevelSurvey DatesGrievance*All grievances will be reviewed by TETAF Vice President of Operations Brenda Putz and responded to within 60 days.
