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Consumer Feedback Form

Please select from the list
What outcome would you like from your feedback? *These outcomes cannot be achieved anonymously
Do you wish to remain anonymous?
Your date of birth
Their date of birth
Do you have their permission to provide feedback on their behalf?

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Your privacy

We take your privacy seriously. No record of your complaint will be attached to your medical record. All complaints are treated with the utmost confidentiality.  In line with principles of Natural Justice, the persons complained about have the right to be informed and are given the opportunity to respond.

If you are making a complaint on behalf of a friend or relative, we may need to contact that person for permission.

Last updated: 1 February 2017