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The document is a Complaint/Grievance Form for patients to report issues related to their care or service at Springfield Hospital. It collects patient and complainant information, details the nature of the complaint, and allows for a description of the problem and desired outcomes. The form assures confidentiality and outlines the process for submitting complaints, promising a response within 30 days.

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Versions	Form popularity	Fillable & printable
2022	4.2 Satisfied (29 Votes)
2016	4.6 Satisfied (54 Votes)

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