We value your feedback. If you’d like to share a complaint, please fill out the form below. Please enable JavaScript in your browser to complete this form.What Date does your feedback relate to? *Who/what does your concern mainly relate to? *DoctorAllied Health StaffNurseOther Practice staffAnother patient/carerOur Centre general services (e.g. wait time, premises)How would you rate the severity of your concern? (select the best that applies) *Severe: Someone has suffered server physical or psychological harm requiring immediate action/attention. Examples: someone’s life was threatened or severely injured because of an unsafe environment.Major: Someone could have come to harm. Examples: a person’s privacy was breached, hygiene practices were not adhered to, and treatment(s) performed without considering medical history.Important: Unsatisfactory service. For example, the time taken for treatment to be provided, the professionalism of practice staff, and wait times.Please describe in your own words what happened. Please include details of any persona involved.Have you raised this concern with us before?Yes, at least once beforeNo, this is the first time I am raising the concernPlease share your contact details so we can get in touch with you about your feedback. Your personal information will be treated with respect.I prefer to remain anonymous I am happy to be contacted regarding my complaint/feedbackPlease read our privacy statement hereNameEmailPhoneWhat best describes youPatientCarerOtherSubmit Feedback
