Nightingale Practice Complaint Form

We treat complaints very positively and we are grateful that patients bring concerns to our attention so we can improve our service. We will do our best to resolve your complaint and put things right where things have gone wrong. We will not treat you any differently if you complain. We may implement changes to how we run our practice as a result of your complaint.

Last Updated: 26/02/2021

Your Details

Name *

Date of Birth *

Phone Number

Email Address *

Complaint

Your Complaint *

Consent

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the nhs. Please read our privacy policy to discover how we protect and manage your submitted data.

Please select to allow us to process your form *

I consent to the practice collecting and storing my data in this form

Nightingale Practice Complaint Form

Further Information