Complaint Form

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All questions marked with a * are mandatory

Complainant's Details
Are you making the complaint on behalf of another patient: *
Patient's Details
Formal Complaint Details

Optional: Please upload any additional supporting documentation or evidence

  • You can upload a document, photo or scan
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx

If you are making a complaint on behalf of a patient who is over 18 years old, they must give consent for you to deal with this complaint and for AHP to abe able to communicate with you.

Period of authority: *

Privacy Consent


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