Complaint form

You are not obliged to provide all of the information requested in the form below however it will allow us to investigate more thoroughly.  Information collected will not be used for any other purpose other than to help resolve any issues or to improve services.

Required

Contact details - please provide the details for your preferred choice of contact, at least one contact detail is mandatory in order to facilitate your complaint:

Address
Required
Date of Birth

This is required to identify the person in relation to the complaint.

This is required to support the process of your complaint in relation to primary care services.

Have you contacted the service provider directly?
Required

All the information collated on this form once submitted is used by the Time 2 Talk team to either investigate your complaint and/or ensure it is sent to the correct directorate/area, with your permission, in order for your complaint to be dealt with appropriately.

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