Your feedback for us

Your feedback is important to us. It tells us how we can improve and what we’re doing well.

You can give your feedback by filling in this online form. You don't have to give us your name or contact details. But if you don't, we won't be able to respond to you.

Your feedback is confidential. We won't link or record it in your health record.

Learn about other ways to give feedback and how we treat your feedback.

Do you want to remain anonymous? * Choosing to remain anonymous might mean we can’t fully investigate your feedback. We still record and review all feedback.
What hospital or facility is your feedback about?
You don't have to give us your name if you don't want to.
We'll use your email address to reply to you. We won't use it for any other purpose.
We'll use your phone number to call you about the feedback you’re giving us. We won't use it for any other purpose.
Is your complaint for you or someone else? If you are selecting "For someone else", we need information to contact the person to gain their consent to review medical records and provide information to you.
This helps us review your health record and investigate your complaint.
Your UR number is given to you when you stay at hospital. Leave this blank if you do not know it.
Do you give permission to access your health record as part of our review? All feedback is confidential. It will not be linked to or recorded in your health record.
We need this to view the person's health record and investigate the complaint.
What result are you looking for?
How would you like us to respond to you? Please make sure you tell us your contact details if you'd like us to reply to your feedback.
Do you need support with any of the following? Giving us this information can help us if we need to contact you.
Do you identify as Aboriginal and/or Torres Strait Islander?
Are you taking part in a research study or clinical trial?