Consumer Feedback Form

    Consumer Feedback

    Castlemaine Health welcomes your valuable comments and feedback on our services. If you have immediate concerns or suggestions, please talk to a staff member straight away so that matters can be resolved as soon as possible.

    Date:
    If your browser does not show a calendar, use the date format YYYY-MM-DD

    Department/unit that your feedback relates to:

    Type of feedback: ComplimentCommentSuggestionComplaint

    Enter your feedback here:

    Have you spoken to a staff member about this? YesNo

    Staff member name or position:

    Can we contact you? YesNo

    How should we contact you? PhoneEmailMail

    Would you be happy to talk to our staff, to help improve our client care? YesNo

    We will respond to all suggestions and complaints. Unless otherwise requested, compliments will not be responded to but will be forwarded to relevant staff.

    You may lodge anonymous feedback if preferred.

    Title: Mr / Mrs / Ms / Other

    Your Name

    Your Address

    Your Phone

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    We take all concerns/complaints seriously and your details will remain confidential. All matters are dealt with by a senior manager in an appropriate and timely manner. We appreciate your feedback and thank you for taking the time to help us improve and give the best possible care and services. Sue Race, CEO

    External agencies you can contact:

    Aged Care Quality and Safety Commissioner
    GPO Box 9819, in your capital city
    Phone: 1800 951 822
    Web: www.agedcarequality.gov.au
    Email:
    info@agedcarequality.gov.au

    Health Complaints Commissioner
    Level 26, 570 Bourke Street, Melbourne VIC 3000
    Phone: 1300 582 113
    Web: www.hcc.vic.gov.au
    Email: hcc@hcc.vic.gov.au

    Office of the Public Advocate
    Level 1, 204 Lygon Street, Carlton VIC 3053
    Phone: 1300 309 337
    Web: www.publicadvocate.vic.gov.au
    Email: opa_advice@justice.vic.gov.au

    Disability Services Commissioner
    Level 20, 570 Bourke Street, Melbourne VIC 3000
    Phone: 1800 677 342
    Web: www.odsc.vic.gov.au
    Email: complaints@odsc.vic.gov.au

    NDIS Commission
    Phone: 1800 035 544 or TTY 133677
    Interpreters can be arranged
    Web: www.ndiscommission.gov.au

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