Complaints form

If you use British Sign Language you can contact us through ContactScotland - Find out more on the ContactScotland BSL website.

Your Details

Name

Email

Telephone

Mobile number (if different from above)

House name/number

Street

Town

County/Region

Post Code

If you are not the patient, your relationship with the patient

Patient details (if different from above)

Patient name

House name/number

Street

Town

County/Region

Postcode

Your complaint

Date of incident if known (please put year in full e.g. 18/03/2021)

Time of incident if known

Tell us what happened

Tell us what you would like to see happen

Captcha

Consent for storing submitted data *

Yes, I give permission to store and process my data

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