Mackay HHS - Online feedback form

Your feedback for us

Your feedback is important to us. It tells us how we can improve and what we’re doing well.

You can give us feedback by filling in our online form. You don't have to give us your name or contact details. But if you don't, we won't be able to respond to you.

Your feedback is confidential. It won’t be included in your health record or linked to your personal information.

Learn about other ways to give feedback and how we treat your feedback.

About you

Do you want to remain anonymous? *

YesNo

Choosing to remain anonymous might mean we can’t fully investigate your feedback. We also won't be able to respond to you about your feedback. We still record and review all feedback.

Your name

Your email addressWe'll use your email address if you ask us to respond to you by email. We won't use it for any other purpose.

Your phone numberWe'll use your phone number if you ask us to call you. We won't use it for anything else.

Do you give us permission to access your health record as part of our review?

YesNo

All feedback is confidential. It will not be linked to or recorded in your health record.

Your date of birthWe need this to view your health record if we're investigating a complaint.

Are you giving feedback on behalf of someone else?

YesNo

Patient details

Fill in this section if you're giving feedback for someone else. We may need their permission to speak to you on their behalf or access their health record.

Patient's full name

What's your relationship with this person?

Patient's date of birthWe need this to view their health record if we're investigating a complaint.

Do they know you're contacting us on their behalf?

YesNo

Your feedback

Date of event

Which hospital or health centre is your feedback about? *

Bowen HospitalClermont HospitalCollinsville HospitalDysart HospitalMiddlemount Community Health CentreMoranbah HospitalMackay Base HospitalMackay Community Health CentreProserpine HospitalSarina HospitalWhitsunday Community Health Centre

Which ward, department or service is your feedback about?

Type of feedback *

ComplimentSuggestionEnquiryComplaint

Your feedback *Please tell us the details including the date, people involved and anything else that’s relevant.

What outcome are you looking for?

How would you like us to respond to you?

Please enter your postal address

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