Complaints Form

 

The formal complaints procedure is intended to ensure that all complaints are handled fairly, consistently, and whatever possible resolved to the complaint’s satisfaction. SimeonBeth Care’s responsibility will be to deal reasonably and sensitively with the complaint and act where appropriate.

DATE AND TIME OF OCCURRENCE*

SERVICE USER’S NAME*

First

Middle

Last

NAME OF COMPLAINT:*

First

Middle

Last

RELETIONSHIPWITH SERVICE USER*

TELEPHONE NUMBER*

EMAIL ADDRESS:*

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NATURE OF COMPLAINT:*

Date & Time*