eastern suburbs medical services

Compliment & Complaint Notification


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Level 5, Edgecliff Centre, 203 -233 New South Head Rd, Edgecliff NSW

An Accredited Medical Deputising Service (M.D.S.) &
Member of the National Association of Medical Deputising Services (NAMDS)

All mail:              PO Box 131                   Tel: 1300 729 749
                               Edgecliff NSW 2027    Fax: (02) 9371 0620

ESMS considers all informal and formal compliments, enquiry and complaints as “opportunities” to improve and provide the best possible care and service

ESMS Management is committed to responding positively to an effective and fair resolution of complaints within an environment of respect and co-operation between the parties involved

Person making Compliment/Enquiry/Complaint (Please select):
Patient  Relative  Carer  Staff Member  Volunteer  
Other (Please Specify)  

Nature of Compliment/Enquiry/Complaint:
(Please include events and dates if relevant and provide full information-people and services involved, attach extra sheets if required):

Completed forms can be
1/- Given to the Duty Doctor or
2/- Faxed to (02) 9371 0620 or
3/- Posted to Attention: Practice Manager at ESMS; PO Box 131; Edgecliff 2027

This section is optional:

NAME:
ADDRESS:
CITY:
POST CODE:
TELEPHONE HOME:
TELEPHONE WORK:
MOBILE:
SIGNATURE (if printing out only)
DATE:




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Eastern Suburbs Medical Service © 2009