Feedback / Care Concerns

Please select an option below.

What are you looking to do?(Required)

The Tilbury District Family Health Team is committed to providing excellent service to our patients. Feedback from our community members helps us as we constantly improve our services and overall experience.

Alternatively, if you would simply like to provide feedback about your recent visit, please provide feedback below:

Please provide your feedback(Required)

Complaints are taken seriously at the Tilbury District Family Health Team. To ensure that they are received in a timely and orderly fashion, please follow the following steps to file a formal complaint.

Formal complaints procedure:

1. Complete the “Complaint Report” below and click “Submit”.
2. Our Executive Director will then meet with the management team to review your complaint.
3. If needed, your complaint will be reviewed with other healthcare team members. In some cases, we may ask to consult with you as we review the complaint.
4. If you would like a response from our management team, you will be contacted within four weeks of submitting your complaint. If this timeline cannot be met, a member of our team will let you know when you can expect a response.

Date of the Incident(Required)

Time of the incident(Required)

Location/Unit # of the Incident(Required)

Person(s) involved (physician and/or clinic staff)(Required)

Names of people involved (if known)(Required)

Description of incident (what occurred, when, where, who was involved)(Required)

Your Information

Patient Name(Required)

Please provide the name of the person completing the form, if different than the patient.

Phone number we may contact you at(Required)

What do you expect the outcome to be?(Required)

Comments

This field is for validation purposes and should be left unchanged.

Page Content

Formal complaints procedure:

Your Information

Browse