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Great North Medical Group

Chestnut Avenue, Carcroft Doncaster, DN6 8AG

Telephone: 01302 723510 / 01302 723406

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See our other Locations

Princess Street, Woodlands Doncaster, DN6 7LX | Telephone: 01302 723406 / 01302 723510

Complaints Form

Online form to submit a complaint.

About You

Complainant’s details(Required)

First Last

Your Address

Street Address Address Line 2 City Postcode

How Can We Reach You?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Patient’s Details (where different from above)

Name

First Last

Name

First Last

Address

Street Address Address Line 2 City County / State / Region Postcode Country

Contact telephone number

Complaint Details

Details of Complaint (including date(s) of events and persons involved)

If you are filling out this complaint for sometone else have you asked them to authorise the complaint and they have agreed to submitting it?

Yes

N/A (I am submitting this myself and not on behalf of someone else)

	Very easy	Fairly easy	Not very easy	Very difficult	N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously