Complaints Form

We are sorry to hear that you have felt that you need to make a complaint. In order for the surgery Team to deal with your complaint we would appreciate it if you are able to take the time to complete this form. This will allow us to determine what has gone wrong and why and allow a focused response to you in a timely manner.

Please answer the following questions as concisely as possible in the spaces provided

Personal Details

Your Name

Your Complaint

For example did this happen as a result of conflicting messages, a personality conflict, a problem with communication within the surgery etc
Common outcomes that help us improve our service include training, improved communication, looking at ways to work differently, or by simply apologising where your experience has not been as you had wished.
5. Are you happy for us to review things going forward?
We would like to review this complaint as part of our complaints procedure to ensure our systems are as efficient as we can make them.