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Huisartsen×SarphatiparkSarphatipark×28, 1072×PB AmsterdamCOMPLAINT×FORM fill×in form×entirelyPersonal×information (of×the×complainant)Name’M/Address:Zip×code + city:Telephone×number:Date:Personal×information×of the×patient (this×can×be someone×else×as the×complainant)Name×of the×patient:Date×of birth×the×patient:Relation×between×the×complainant×and×the×patient (e.g.×parent×or husband):Nature×of the×complaintDate×of the×event:The×com
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Fill out your personal details such as your name, contact information, and date of birth.
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Describe the nature of your complaint in detail. Include relevant dates, names, and any supporting evidence you may have.
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The complaint form at huisartsindepijpnl is a form provided for individuals to submit any grievances or issues they may have regarding the services received from the healthcare provider.
Anyone who has a complaint or concern about the services provided by huisartsindepijpnl is required to file a complaint form.
To fill out the complaint form at huisartsindepijpnl, individuals need to provide their personal details, describe the issue or complaint accurately, and submit any supporting documents or evidence.
The purpose of the complaint form at huisartsindepijpnl is to address and resolve any grievances or issues raised by patients regarding the healthcare provider's services.
The complaint form at huisartsindepijpnl must include the patient's details, a detailed description of the issue or complaint, any relevant dates and times, and any supporting documents.
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