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Fillable Online ithaca COMPLAINT GRIEVANCE FORM - Ithaca

Fillable Online ithaca COMPLAINT GRIEVANCE FORM - Ithaca 2025

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4.8 out of 5

147 votes

The document is a Patient Complaint/Grievance Form designed for patients to report issues related to their care or service. It collects patient and complainant information, details about the nature of the complaint, and requests for resolution. The form assures confidentiality and outlines the process for submitting the complaint, with a promise of response within 30 days.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (147 Votes)

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