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Complaints Form

Please note:

  • messages sent using this form will be seen by a number of different staff
  • this form is not sent over a secure network.

Complainant Details

(this section only needs to be completed if you are raising a complaint on behalf of someone, consent will also be requested upon acknowledgement of the complaint)

Patient Details

Description of complaint

If you do not receive an acknowledgement within 3 full working days please contact the complaints team on 01634 825216.