Complaints Form

If you have a concern or complaint about services please let us know.

Learning from your concerns or complaint is an important way for us to improve the quality of our service.

Our Complaints procedure is part of the NHS complaints system. Our aim is to resolve any concerns or complaints as soon as possible.

Please complete this form, if you wish to submit a complaint.

Complaints

First Name *

Last Name *

Email *

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Phone Number *

If you are complaining on behalf of someone else, we require their authorisation before we can discuss this complaint. Please contact the Practice directly before completing this form for advice.

Your complaint

I confirm that my enquiry is not urgent, and it may take up to 2 working days before I receive a reply.

Privacy Policy

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.

reCAPTCHA

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

Complaints Form

Privacy Policy

Health A-Z

Live Well

Medicines Guide

Care & Support

Millway Medical Practice

Contact Us