How to use or fill out Trent Hills Health Team Patient Complaint Form
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the date at the top of the form. This helps track when the complaint was registered.
- 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.
- If you are submitting on behalf of a patient, complete the 'Patient Information' section with their details.
- In the 'Details of Complaint' section, provide a thorough description of your concern. Include relevant dates, times, and specify which clinic is involved.
- Indicate any healthcare team members involved by checking the appropriate box.
- Describe any efforts made to resolve this matter and what outcome you seek.
- If applicable, indicate whether you consider this matter urgent and provide an explanation.
- Add any further comments as needed. You can utilize additional space on the back of the form if necessary.
- Once completed, forward your form to Delayne Donald via email or fax as indicated at the bottom of the document.
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See more trent hills health team versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2016 | 4.8 Satisfied (241 Votes) |
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