Patient Complaint Form Template - Report and Resolve Healthcare Issues

A Patient Complaint Form is a document that allows patients to formally express their dissatisfaction with the quality of care or services received from a healthcare provider. It typically includes details about the patient, the nature of the complaint, and any relevant medical information. By using an electronic version of this form, healthcare providers can more easily track and respond to patient complaints in a timely and efficient manner.

Unlimited submissions

Clean design

Detailed documentation

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Patient Complaint Form

Unparalleled features creating true impact

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Complex schedules made easy

Run group and recurring bookings, ad-hoc appointments, and more.

Private and group chats

Support patients with on and offline chat messaging and file sharing.

Video calls from anywhere

Crisp and secure video appointments from any device.

Medical form builder

Free up front desk with digital forms completed online prior to visit.

Remote patient monitoring

Assess health indicators virtually using mobile & web cameras.

Custom notifications for all

Set dynamic email and SMS notifications for patient and staff.

Customizable booking page

Create your booking page, embed it into your site or share a link.

Patient management portal

For patients to manage sessions, prescriptions and more.

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