Complaint Form – Indianahealthcare

Complaints, Compliments & Comments Form
We welcome all feedback at Indiana Healthcare Services (IHS). Your views help us improve our services and recognise great practice within our team.
Please use the form below to submit a complaint, compliment, or general comment.

Feedback Type

Name

Phone Number

Are you:

Service Location (if relevant):

Date of Incident / Experience: Names of Staff Involved (if known):

Please provide as much detail as possible:

What would you like to happen next?

Upload any relevant documents or evidence (optional):

I understand that my information will be handled in line with IHS’s Privacy Policy.

I consent to being contacted regarding this feedback (optional).

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