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QUEENS AVENUE SURGERY
COMPLAINT FORM
To make a formal complaint, please complete the form below, sign and hand to reception or
send to:
The Practice Manager
Queens Avenue Surgery
14 Queens Avenue
Dorchester
Dorset
DT1
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How to fill out queens avenue surgery complaint
How to fill out queens avenue surgery complaint
01
To fill out a Queens Avenue Surgery complaint, follow these steps:
02
Begin by stating your name, contact information, and the date.
03
Clearly describe the incident or issue that you are complaining about.
04
Provide any relevant details such as the date, time, and location of the incident.
05
Explain how this incident has affected you or the person you are complaining on behalf of.
06
If applicable, include any supporting documents or evidence that can validate your complaint.
07
State what action you would like to be taken to resolve the issue.
08
Sign and date the complaint.
09
Keep a copy of the complaint for your records.
10
Submit the complaint to the designated authorities at Queens Avenue Surgery, either in person or through a preferred method (e.g., email, mail).
Who needs queens avenue surgery complaint?
01
Anyone who has experienced an issue or incident with Queens Avenue Surgery and wishes to file a complaint can use this form.
02
Patients who have received inadequate care, experienced medical negligence, faced rude behavior from staff, or have any other grievances should utilize this complaint process.
03
Additionally, family members or individuals representing patients can also submit a complaint on their behalf if they have the necessary authorization.
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What is queens avenue surgery complaint?
A Queens Avenue Surgery complaint is a formal grievance filed by a patient or their representative regarding dissatisfaction with the services or care received at Queens Avenue Surgery.
Who is required to file queens avenue surgery complaint?
Any patient who has received care at Queens Avenue Surgery and feels that their treatment was inadequate or unsatisfactory can file a complaint. Additionally, family members or guardians may file on behalf of patients who are unable to do so.
How to fill out queens avenue surgery complaint?
To fill out a Queens Avenue Surgery complaint, you typically need to obtain the complaint form from the surgery's website or office, provide your personal information, detail your concerns or grievances, and submit the form following the instructions provided, either online or via mail.
What is the purpose of queens avenue surgery complaint?
The purpose of a Queens Avenue Surgery complaint is to address and resolve issues related to patient care, identify areas for improvement in services, and ensure that patients' rights and concerns are taken seriously by the medical facility.
What information must be reported on queens avenue surgery complaint?
The information that must be reported typically includes the patient's details, a clear description of the complaint, relevant dates, outcomes if applicable, and any additional supporting documentation or evidence related to the grievance.
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