Health Disability Complaints Form

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Make a complaint to HDC - Health and Disability Commissioner

    https://www.hdc.org.nz/making-a-complaint/make-a-complaint-to-hdc/
    If you are unhappy about a health or disability service you have received, it is best to talk to, or write directly to, the person who provided the service, or the organisation in charge of the service. Very often they will welcome your complaint, as it helps them to improve their standard of …

Making a complaint - Health and Disability Commissioner

    https://www.hdc.org.nz/making-a-complaint/
    If you have concerns about a health or disability service, we have suggestions on ways to address your issues. Independent advocates are available to support and guide you, or you can complain directly to the Health and Disability Commissioner.

Online Complaint FormHealth and Disability Services ...

    https://www.hadsco.wa.gov.au/form/index.cfm
    Online Complaint Form. If you are not satisfied with a service provided by a health, disability or mental health service provider, or you are concerned with the health, conduct or performance of a registered or unregistered health practitioner, it is your right to make a complaint.

LARA - HEALTH FACILITY COMPLAINT FORM

    https://www.michigan.gov/lara/0,4601,7-154-89334_63294_63384_70218-339092--,00.html
    All Health Care Facilities that are state licensed and/or federally certified providers are required to post the name, title, location, and telephone number of staff responsible for receiving complaints. You may wish to contact the provider representative or administrator before filing this complaint.

Health and Disability Services Complaints Office (HaDSCO)

    https://www.hadsco.wa.gov.au/home/
    The Health and Disability Services Complaints Office (HaDSCO) is an independent Statutory Authority providing an impartial resolution service for complaints relating to health, disability and mental health services provided in Western Australia and the Indian Ocean Territories.Do you need advice or assistance to resolve a complaint? HaDSCO’s services are provided at no cost to the community.

How to File an ADA Complaint

    https://www.ada.gov/filing_complaint.htm
    OMB Control No. 1190-0009. Form Expiration Date: September 30, 2021. You can file an Americans with Disabilities Act (ADA) complaint alleging disability discrimination against a State or local government or a public accommodation (private business including, for example, a …

HHS Office for Civil Rights Complaint Form Package

    https://www.hhs.gov/sites/default/files/civil-rights-complaint-form-0945-0002-exp-04302019.pdf
    Disability Other (specify): ... COMPLAINANT CONSENT FORM . The Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) has the authority to ... disability discrimination complaints against certain public entities, defined as health and service agencies

Disability support complaints and ... - Ministry of Health

    https://www.health.govt.nz/your-health/services-and-support/disability-services/disability-support-complaints-and-feedback
    Jan 21, 2020 · We welcome feedback on Ministry-funded disability support services. This can include compliments, suggestions or concerns. Feedback form (PDF, 1119 KB) Once you’ve completed the form, email it to [email protected] or mail it to Disability Directorate, Ministry of Health, PO Box 5013, Wellington 6140

Make a complaint - Office of the Health Ombudsman

    https://www.oho.qld.gov.au/make-a-complaint/
    Fill in and submit the online health service complaint form or download the PDF form and send to us by post, or email. We’ve put together some tips for talking with your provider first. Email. HEALTH SERVICES COMPLAINTS: [email protected]. Visit our Make a complaint page for more information on making a health service complaint.

ADA Discrimination Complaint

    https://www.ada.gov/complaint/form.php?language=en
    Americans with Disabilities Act Discrimination Complaints. Please complete this form. Fields marked with an asterisk (*) are required. If you wish to send attachments, you may do so after submitting this form. You will receive a response email after you have submitted this form that will contain a complaint reference number and instructions on ...

Make a complaint - Disability Services Commissioner

    https://www.odsc.vic.gov.au/making-a-complaint/how-to-make-a-complaint/
    From 1 July 2019 the way we handle complaints has changed. ... funded disability services or TAC funded disability services please complete the below eFORM or phone us on 1800 677 342. Online Complaints Form Submit a complaint about a Victorian disability service provider to DSC. Name * Required. Email.

How to give feedback or make a complaint to the Ministry ...

    https://www.health.govt.nz/system/files/documents/pages/giving_feedback_or_making_a_complaint_about_your_moh_dds_-_easy_read.pdf
    3 The Ministry of Health looks after the funding for disability support services. Funding is money the Ministry of Health uses to pay for disability support services. Disability support services are things like: • home and community support services which is support …

Feedback Form Counties Manukau Health

    https://www.countiesmanukau.health.nz/contact-us/feedback-form/
    You have several options for making contact with us if you have any complaints, compliments or feedback about our services or staff at CM Health: ask a staff member for the 'Feedback form - Have your Say" brochure which is available in all clinical areas. Complete the form and return it to the staff member for sending it to Feedback Central or ...

OCR: Discrimination Complaint Form

    https://www2.ed.gov/about/offices/list/ocr/complaintintro.html
    disability, including those currently without an impairment that substantially limits a major life activity, but who have a record of or are regarded as having a disability; and. age. OCR also has the authority to investigate complaints claiming a covered entity:

Reporting a Complaint - Connecticut

    https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/PLIS/Reporting-a-Complaint
    Individual Health Care Practitioners. If your complaint is in regard to care provided by an individual health care practitioner (i.e. doctor, nurse, chiropractor, etc.) you may select this link to access a printable complaint form. Please complete the form and mail it to the address indicated.

Make a health and disability service complaint Western ...

    https://www.wa.gov.au/service/health-care/health-protocols/make-health-and-disability-service-complaint
    The Health and Disability Services Complaints Office’s (HaDSCO) provides an impartial resolution service for health, disability and mental health service complaints. Parties are encouraged to discuss complaints and works towards mutually agreed outcomes.

Disability Texas Health and Human Services

    https://hhs.texas.gov/services/disability
    Texas Health and Human Services (HHS) is ready to meet the challenge of providing these services. HHS provides a range of services to Texans with disabilities that help ensure their well-being, dignity and choice. Programs also are in place to support family members who care for them.

How to File a Complaint Against a Health Care Provider or ...

    https://www.disabilityrightswa.org/publications/how-file-complaint-against-health-care-provider-or-facility/
    Below are some options for filing complaints against health care providers, health care agencies or organizations, or hospitals and other health care facilities: ... Complaint form. To file a complaint against a health care provider or facility, ... This information is a service of Disability Rights Washington (DRW). It provides general ...

How to File a Health Care Complaint, Grievance or Appeal

    https://www.aetna.com/individuals-families/member-rights-resources/complaints-grievances-appeals.html
    As a valued Aetna member, you have the right to make your voice heard about your health care experience - whether it’s about us, your plan, a health service or provider. Here's information on how to file a member complaint, grievance or appeal.

Health Facility Complaints

    https://nmhealth.org/about/dhi/ane/rahf/
    All health facilities must complete and submit a written Health Facility Complaint Investigation Five Day Follow-up Report Form to DHI Complaints Unit within 5 days from the date of the incident or the date of discovering the incident.



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