LRH Consumer Feedback Form
Latrobe Regional Health actively seeks feedback to continually review and improve the quality of services we provide. If you require immediate action on your feedback please speak with a member of your treating team, alternatively please fill out the details below and a member of our Consumer Liaison Team will be in touch with you.
Type of Feedback
*
Please Select
Complaint
Compliment
Your Name
Mr
Mrs
Miss
Ms
Master
Dr
Sir
Madam
Mx
Prefix
First Name
Last Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.
Patient Name
First Name
Last Name
Service/Unit
Tell us about your experience
*
How would you like us to respond to your feedback?
*
Please Select
Email
Phone
I do not require a response
Submit
Should be Empty: