GPcare General Practice Feedback Form

We welcome your feedback regarding your experience at our General Practice.

Please complete this form to help us improve the service we provide to the community.

Please note: If you have specific questions regarding your or your family’s appointments please contact GPcare General Practice on 1300 472 273.

Name*
First Last
Address
Street Address City State Post Code
Email*
Date of Incident*
DD slash MM slash YYYY
Time of Incident

: Hours

Minutes

AM/PM
Service Supplied by:*
If other, please indicate which service
Who or what is the subject of the feedback?:
Details of the feedback?*
Terms and Conditions*
- I understand that by ticking this box I am stating that the information I have supplied provides a true and correct representation of the events that occurred and that prompted this feedback. I understand that the information I supply will be used by the organisation to further improve its service delivery and my feedback will be treated in accordance with relevant legislation.
Processing Feedback
1. We will acknowledge all feedback within 7 working days.
2. If the feedback relates to a service complaint, once reviewed, you will receive a written explanation of the outcome and information regarding changes that will be made to policies, procedures or other internal processes where relevant.
3. We shall have due regard to your privacy.
If you are dissatisfied with the manner in which your feedback is dealt with, you can contact the Health and Community Services Complaints Commissioner on 1800 232 007 or on the website www.hcssc.sa.gov.au
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