What would you like to happen as a result of this complaint? What would be a satisfactory outcome? How could our service be improved? How would you prefer to be contacted in relation to this complaint? For health services – Admission status: Inpatient Public Voluntary Outpatient Private Involuntary Visitor Other How was the complaint made: Letter Email Face to face Feedback form Telephone Other Who took the complaint? Name: Signature: Contact number: Work location: Date: Thank you for your feedback.
What would you like to happen as a result of this complaint? What would be a satisfactory outcome? How could our service be improved? How would you prefer to be contacted in relation to this complaint? For health services – Admission status: Inpatient Outpatient Visitor Public Private Other Voluntary Involuntary How was the complaint made: Letter Feedback form Email Telephone Face to face Other Who took the complaint? Name: Signature: Contact number: Work location: Date: Thank you for your feedback.
WA%20Health%20Complaints%20Management%20Toolkit%202015.docx