I want to provide feedback on behalf on someone else

At Canberra Health Services, our aim is to provide exceptional patient-centred care.

We recognise that partnering with you - the consumers and carers who use our services - improves your experience of care, and the safety and quality of our services. Your feedback is one of the ways we do this.

If you wish to provide feedback on behalf of someone else, please complete the form below. We value hearing about their experience with our service.

If you want to provide feedback on behalf of yourself, please use this feedback form.

You may also give feedback to our Consumer Feedback and Engagement team by:

Phone: (02) 5124 5932
Email: HealthFeedback@act.gov.au

We also have information about your Health Care Rights.

Which service are you writing about? *

Type of feedback *

Compliment
Comment
Complaint

What would you like to tell us?

What would you like to happen? *

Would you like a response to your feedback? *

Location of the service * If your feedback is about a hospital, please select the relevant hospital from the list:

Are you of Aboriginal or Torres Strait Islander Origin? *

Aboriginal but not Torres Strait Islander origin
Torres Strait Islander but not Aboriginal origin
Both Aboriginal and Torres Strait Islander origin
Neither Aboriginal nor Torres Strait Islander origin
Prefer not to say

In the case of a life threatening emergency, dial Triple Zero (000).

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