Your feedback – suggestions, compliments and complaints

Please fill in the form below to give us your feedback. The questions marked with an asterisk are mandatory.

If you have any issues with this form, you can email us at feedback@ccdhb.org.nz

Your name *
Your contact details (email and/or phone number) *
Name of the person this feedback relates to - this may be your name. *
Above person's contact details (email and/or phone number). If this is a complaint on behalf of another person, please state their name as we’ll need their consent to respond to you. If the feedback is about you, you don't need to fill this in again.
NHI number of the person this feedback relates to (if known)
Where did the person this feedback relates to receive their treatment? *
Date of treatment (approximate) *
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Last updated 20 February 2023.