Complaints

If you have a complaint about the practice, please complete the form below. If you prefer, you can write to us instead.

We will answer your concerns as soon as possible.

Grayshott Surgery
Boundary Road
Grayshott
Hindhead
Surrey
GU26 6TY

Telephone: 01428 604343

Complaint form

Your details

Full name(Required)

Date of birth(Required)

Day

Month

Year

Phone number

Address(Required)

E-mail address(Required)

Enter Email Confirm Email

If you are unable to provide a contact e-mail address, you can pick up a paper complaint form at reception.

Does your complaint relate to yourself?(Required)

Yes - it relates to me

No - it relates to someone else

Patient's details (if not the patient detailed above)

Patient's full name(Required)

Patient's date of birth(Required)

Day

Month

Year

Patient's address(Required)

Patient's phone number

Patient's email address

Consent declaration(Required)

I have provided written consent from the patient that this may be discussed with me.

Where the complaint is not made by the patient concerned, we require written consent from the patient that all health matters may be discussed with you before we can start any investigations. If this is not in place, the affected patient should make the complaint directly. If this consent is not in place, your complaint cannot be investigated.

Details of complaint

Please describe in detail and accurately the nature of your complaint.(Required)

Please outline what actions you feel could be taken to effectively resolve your complaint.(Required)

Not for urgent medical help

Yes, I understand this form is NOT for urgent medical help

Consent(Required)

I agree to the privacy policy.

By submitting your details you are consenting to providing this information for improving our services to you. The data you supply on this form will be securely stored on our website, which is hosted by a third party. We will retain this information on the website for no longer than 7 calendar days. Your contact details will not be sold or shared with a third party. I understand I can revoke this consent at anytime by contacting the practice. Our privacy policy can be viewed on this website.

Date published: 16th September, 2024
Date last updated: 12th August, 2026

Complaints

Complaint form

Your details

Patient's details (if not the patient detailed above)

Details of complaint

Policy

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