Before you start
In most cases, you must first try to resolve your complaint directly with the health service provider. You can find more information about complaints on our About Complaints page. Check this before proceeding.
If you have already tried to resolve your complaint or already have tried contacting the provider please see:
How long will it take?
This form usually takes 15–20 minutes to complete.
Please have all your information ready as this form cannot be progressively saved.
This form will logout after 30 minutes.