Compliments & Complaints
LPH reporting mechanism, where we will give you feedback within 7 working days, if you provide contact details.
Name (optional)
First Name
Last Name
Email (should you want feedback)
example@example.com
Phone Number (optional)
-
Area Code
Phone Number
Date of submission
-
Day
-
Month
Year
Date
Type of Report
Complaint
Compliment
Suggestion
Whistleblower
The event leading to this report:
Please describe the event:
Event:
Event pertaining to
Hospital Care
Health Professional
Staff Member
Medical Aid
Other
Name of Hospital and individual:
Date of event
-
Month
-
Day
Year
Date
Your expected outcome:
"When the whole world is silent, even one voice becomes powerful."
-Malala Yousafzia-
Submit
Should be Empty: