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NHS Complaints
Please fill in this form if you would like to complain about an NHS medic. This form has total anonymity. We would prefer to have some evidence of the complaint but this will only be seen by NHS staff and will be protected.
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* Indicates required question
Name of the person you wish to complain about
*
Your answer
Their rank within the NHS
Choose
STU
FA
PAR
SUR
DR
CST
CMO
Is the complaint about a CST+
Choose
Yes
No
Date of when the incident in question happened
*
MM
/
DD
/
YYYY
Do you wish to be contacted about the incident?
*
Yes
No
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