Princes Park complaints form | Brownlow Health @ Princes Park

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

DOB *

Email *

Summary of complaint

Please provide details if it was previously resolved.

Have you experienced this issue before?

Please provide details if it was previously resolved.

Please describe any desired outcomes from this complaint *

Understanding our patient’s needs is important to us so that we can explore and address issues fully. Common outcomes that patients value include improving our service through training, saying sorry when we have made a mistake, and addressing a communication issue or exploring the issues with you in more detail.

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry. Whilst we take every effort to ensure your confidentiality, your form entry is not encrypted, which means that in theory it could be subject to a malicious website attack. If you have concerns about this, please submit your complaint in writing for the attention of the practice manager.