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TITLE: GENERAL GUIDANCE TO<br />

REFERENCE #: PFR.PILS.001<br />

PATIENTS/FAMILY MEMBERS WHO WISH<br />

TO MAKE A COMPLAINT<br />

IMPLEMENTATION DATE: MAY 2013 REVIEW DATE: MAY 2015<br />

Why did it happen?<br />

What is your desired outcome?<br />

Any other information?<br />

2. Complaint Letter Template<br />

Your address 1<br />

Your address 2<br />

Your address 3<br />

Other contact details, eg phone, e-mail<br />

Date<br />

Name of contact person, if available<br />

Company Name<br />

Company address<br />

Re: [service provided]<br />

Dear [Contact Person or Customer Service Manager],<br />

On [date], I [service received] at [location and other details].<br />

I am disappointed because [the service you provided, your service] was [unsatisfactory]<br />

because [state the problem as you understand it giving as much detail as possible].<br />

To resolve the problem I would like you to [state the action you require for example, an<br />

explanation, an apology, the service performed again].<br />

Enclosed is a copy/are copies (of any relevant documents].<br />

I look forward to hearing from you and to a resolution of this problem. Please contact me at the<br />

above address or by phone [give numbers].<br />

Yours sincerely<br />

[Sign]<br />

[Print Your Name]<br />

Enclosures: [state documents you have enclosed , if any]<br />

Cc: [Include Name of person or agency you want to send a copy of this letter to]<br />

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