Consumer Complaints and Feedback Form

Consumer feedback is a way for you the consumer to inform us of your experience with Robinvale District Health Services. You can pass onto us comments or complement our services, suggestions for service improvements or let us know about any concerns or complaints you have.

Whatever you have to say, your feedback is very welcome and you can fill out this form. Once you have completed this form, you will be able to submit it to our Quality Department.

Complaints can also be directed to: CEO, Robinvale District Health Services PO Box 376, ROBINVALE VIC 3549 or via email quality@rdhs.com.au.

Please tell us about your compliment, suggestion or complaint below:

Please provide as much detail to enable a thorough investigation e.g. name of ward/area, date, time, staff names or as much description as possible.

Person lodging this feedback*

PatientParent / Carer / GuardianVisitorOther

Which Department is this relating to*

Robinvale Main Campus - Acute / Urgent Care Centre / DialysisRobinvale Main Campus - Aged CareHealth and Wellbeing Centre / Primary CareRiverside Campus - Aged CareManangatang Campus - Acute / Aged Care / Urgent Care CentreVisiting Nursing ServicesOther

Please select the type of feedback*

Complaint / Concern (All complaints will be reviewed and if requested you will be informed of the outcome of your complaint.)Compliment (All compliments will be fed back to the relevant areas and shared with staff.)Suggestion / Feedback/ Ideas (All suggestions will be taken to the appropriate forum for review, discussion and consideration.)

Date event occurred*

Date

Please provide details of your feedback?

All feedback is confidential and is taken as an opportunity for improvement. Remember - We won’t know if you don’t tell us!

If you have any further information that you would like to upload!

Browse Files

Do you want us to contact you to discuss your concern and feedback following investigation? If YES please provide details below.*

YESNO

Would you be interested in providing your details for our Community Advisory Committee (further information can be found on our website, www.rdhs.com.au/community-advisory-committee)*

YESNO

RDHS would like your feedback on services and brochures that are provided to you.

If you are interested please ensure you have completed your details below and we will contact you for further information.

Name*

First NameLast Name

Address*

Street Address

CityState

Post Code

Email*

example@example.com

If you cannot resolve your concern with us, further information is available on the RDHS Website at: www.rdhs.com.au

Your feedback / complaint will be reviewed within 24 - 48 hours.

Please verify that you are human*

Consumer Feedback and Complaints Form

Consumer feedback is a way for you the consumer to inform us of your experience with Robinvale District Health Services. You can pass onto us comments or complement our services, suggestions for service improvements or let us know about any concerns or complaints you have.

Whatever you have to say, your feedback is very welcome and you can fill out this form. Once you have completed this form, you will be able to submit it to our Quality Department.

Complaints can also be directed to: CEO, Robinvale District Health Services PO Box 376, ROBINVALE VIC 3549 or via email quality@rdhs.com.au.