Feedback and complaints form

Your feedback is important. We are committed to providing safe, respectful, and high-quality physiotherapy services. Your feedback helps us improve. You can use this form to give compliments, suggestions, or raise a complaint. You can choose to remain anonymous, but if you would like me to follow up with you, please include your contact details.

Please remember, you can ask a support person, family member, or advocate to help you. If you are an NDIS participant and are not happy with how your complaint is managed, you can also contact the NDIS Quality and Safeguards Commission via 1800 035 544 or www.ndiscommission.gov.au

Name (Optional)

First Name

Last Name

Email (optional)

Phone (Optional)

(###)

###

####

Are you an NDIS patient?

Yes

No

Details of your feedback or complaint

(Please describe what happened, or the feedback you’d like to share)

Desired outcome

(What would you like to see happen as a result of this feedback or complaint?)

Is there any further information you would like to share?