• Dhelkaya Health welcomes your valuable comments and feedback on our services. If you have immediate concerns or suggestions, please talk to a staff member straight away so that matters can be resolved as soon as possible. If you need help to provide feedback or would prefer to speak to someone about your feedback, please phone 5471 3679.
• Date
  
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• Department/unit that your feedback relates to:*
• Type of feedback:*ComplimentComment/SuggestionComplaint
• Enter your feedback here:*
• Optional question – To ensure we provide inclusive, appropriate and supportive services, do you identify as:
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    Aboriginal or Torres Strait Islander origin
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    LGBTIQA+
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    NDIS participant
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    Needing an interpreter
• If you ticked 'yes' to needing an interpreter, what is your preferred language?
• Do you wish to remain anonymous (note if 'yes' you won't be informed of the outcome)?
  • 
    Yes
  • 
    No
• Would you like someone to contact you to discuss other ways to improve care/services?
  • 
    Yes
  • 
    No
• How should we contact you?
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    Phone
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    Email
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    Mail
• Your Name
  
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• Address
  
  Street Address
  
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  ZIP / Postal Code
  
• Your Phone
• Your Email*
  

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• Your name*
  
  First Name
  
  Surname
• Your email address*
• Your phone number
• Your message*

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