Trent hills health team 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This helps track when the complaint was registered.
3. Fill in your personal information in the 'Person Registering the Complaint' section, including first name, last name, address, daytime and evening phone numbers, and email address.
4. If you are submitting on behalf of a patient, complete the 'Patient Information' section with their details.
5. In the 'Details of Complaint' section, provide a thorough description of your concern. Include relevant dates, times, and specify which clinic is involved.
6. Indicate any healthcare team members involved by checking the appropriate box.
7. Describe any efforts made to resolve this matter and what outcome you seek.
8. If applicable, indicate whether you consider this matter urgent and provide an explanation.
9. Add any further comments as needed. You can utilize additional space on the back of the form if necessary.
10. Once completed, forward your form to Delayne Donald via email or fax as indicated at the bottom of the document.

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