Online feedback form

Your feedback for us

Your feedback is important to us. It tells us how we can improve and what we’re doing well.

You can give your feedback by filling in this online form. You don't have to give us your name or contact details. But if you don't, we won't be able to respond to you.

Your feedback is confidential. We won't link or record it in your health record.

Learn about other ways to give feedback and how we treat your feedback.

Section 1: About you
Do you want to remain anonymous? * Choosing to remain anonymous might mean we can’t fully investigate your feedback. We still record and review all feedback.
I'm a: *
If you selected other, tell us how you're connected to our hospitals or services.
We'll use your email address to reply to you. We won't use it for any other purpose.
We'll use your phone number to call you about the feedback you’re giving us. We won't use it for any other purpose.
Are you giving feedback on behalf of someone else? *
Section 2: Patient details
You only need to fill in this section if you're giving feedback on behalf of someone else. We may need to contact them and ask permission to discuss their health with you, or access their medical records.
Patient's date of birth This helps us to review the person's health record when investigating compliments or complaints.
Section 3: Your feedback
Date of event
What hospital or facility is your feedback about?
Please tell us the details including the date, people involved and anything else that's relevant.
Section 4: Our response
What result are you looking for?
How would you like us to respond to you? Please make sure you tell us your contact details if you'd like us to reply to your feedback.
Do you need support with any of the following? Giving us this information can help us if we need to contact you.
Do you identify as Aboriginal and/or Torres Strait Islander?

Last updated: November 2024