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Telephone: (08) 9394 5000 Facsimiles: (08) 9394 5184 Website: www.armadale.wa.gov.au Email: info@armadale.wa.gov.au Address: 7 Orchard Avenue, Armada, Western Australia 6112 Reference Number Office
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How to fill out health services investigation request

01
Obtain the health services investigation request form from the appropriate agency or organization.
02
Fill out the personal information section including name, address, contact information, and any relevant identification numbers.
03
Provide a detailed explanation of the issue or concern that requires investigation.
04
Include any supporting documentation or evidence that may help with the investigation.
05
Submit the completed form to the designated contact person or agency.
06
Follow up with the agency or organization for updates on the investigation.

Who needs health services investigation request?

01
Individuals who have experienced a problem or concern with a health service provider.
02
Families or caregivers advocating for a loved one receiving health services.
03
Healthcare professionals seeking to report potential misconduct or negligence.
04
Legal representatives handling cases involving health service providers.
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A health services investigation request is a formal inquiry or petition made to investigate a concern or issue related to health services provided.
Any individual or organization that has a concern or issue regarding health services provided may file a health services investigation request.
To fill out a health services investigation request, provide detailed information about the concern or issue, include any relevant documentation, and submit it to the appropriate health services authority.
The purpose of a health services investigation request is to address and resolve concerns or issues related to the provision of health services, ensuring quality and safety for all individuals.
Information that must be reported on a health services investigation request includes details of the concern or issue, any relevant dates, names of individuals involved, and any supporting documentation.
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