File a complaint

This form is for you to make a complaint, in the strictest confidence, to the Complaint Officer. The use of this form will help us to consider your complaint quickly.

If you have any questions on how to fill in this form please contact the Saba Saba Cares Foundation Complaint Officer: (+599) 416 3288 ext. 303

To learn more about our complaints procedure click the link to read our complaints regulation.

Details of your complaint:

Please describe your complaint as fully as possible. Explain exactly what happened, where it happened, and the dates when it happened. it happened. If there is more than one person, please explain how each person was involved. Fields followed by a "*" must be filled to send.

What is your complaint?:*

What do you hope to achieve by sending the complaint to us?:

Are complaining about a staff member?

Name of enployee(s)

Since when did you have this problem?

Personal information:

Your full name*

Who are you (for example: patient, patient's relative, patient's next of kin, patients solicitor, etc)

The patient's full name (if you are not the patient)

The patients date of birth

Gender

Male

Female

Your email address*

Your telephone number

Please make sure that you have:

given us the full name of the employee(s) involved
described your complaint as fully as possible
given us your name and your contact details

Thank you for completing this form. We aim to contact you within five working days of receiving your complaint

File a complaint

Details of your complaint:

Are complaining about a staff member?

Personal information:

Please make sure that you have:

given us the full name of the employee(s) involved

described your complaint as fully as possible

given us your name and your contact details