Complaint Form - Watling Street PCN

PCN Complaint Form

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Complaint

Your Complaint *

By checking this box you are accepting this as acknowledgement of your complaint, we will investigate the points you have raised and get back to you with an explanation. There are no timescales for providing a response, but we aim to get back to you within 30 working days, if this is not feasible you will be updated, and informed of the reasons for the time taken, in writing if there is no response provided within six months. *

I accept this as acknowledgement of my complaint.

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. *

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Page last reviewed: 30 July 2024
Page created: 15 March 2022

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PCN Complaint Form

PCN Complaint Form

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