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:
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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
---MrMrsMsOther

Your Name

Your Address

Your Phone

Your Email (required)

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