Compliments

The form below can be used to:

• Submit a compliment or to tell us about your positive experience

To make a complaint, please go to the complaints page and fill out the form. 

• Compliments Form

  Compliments

  • Name*
    First Last
    Please provide your details
  • Address
    Street Address Address Line 2 State / Province / Region ZIP / Postal Code
  • Email*
  • Telephone Number
  • Are you submitting this compliment on behalf of someone else?*
    YesNo
  • Patient Name*
    First Last
  • Details of Compliment:*
    (Please include as much detail as possible including names of staff members, date, time and location)
  • Location
  • Date
    MM slash DD slash YYYY
  • Staff Members Involved