Feedback

At Kennet and Avon Medical Partnership we strive to deliver the best quality patient care at all times and in all areas of contact with the patient or patient’s representative. There may be times when you feel very happy with our service, or you are less than happy with the service you have received. Your comments whether positive or negative can help us to improve the service we offer.

If you have a compliment, complaint, concern or simply some feedback about the service you have received from any of the staff working in the practice, or the practice itself, please let us know by completing this form and returning it to the Practice Manager.

For more information, please review our Complaints Policy.

Feedback

Feedback

I would like to register: *
The service involved a: *
It concerns: *

Please use this date format: DD/MM/YYYY.
Would you like your feedback to be treated as a formal complaint? *
Please use the format DD/MM/YYYY
Are you completing this form on behalf of someone else? *
Please use this date format: DD/MM/YYYY.

If you are complaining on behalf of a patient or your complaint involves the medical care of a patient then we will require the signed consent of the patient in order to progress the complaint. Therefore, please obtain the patient’s signed consent below.

I fully consent to my Doctor releasing information to, and discussing my care and medical records with the person named about in relation to this complaint, and I wish this person to complain on my behalf.

*
(Full name, Date of Birth, Address & either phone number or email address)
*
I consent to KAMP publishing my comments anonymously: *