Comments, Suggestions and Complaints Form

If you have a query regarding a medical matter please telephone reception to make an appointment to speak to the appropriate person or submit an online consultation.

What kind of comment would you like to send? Remember this form is not for medical matters.

Your comment is:

A Suggestion

Praise

Regarding a Problem

Other

What would you like to say?

Enter your comments in the space below

Your contact details

Your Name

Your Email

Your Contact Number

Do you agree to be contacted regarding this matter?

Yes – I agree that the practice may contact me regarding this matter

No – The practice is not to contact me regarding this matter