I require an interpreter.I require an Aboriginal and Torres Strait Islander Hospital Liaison OfficerI would like to compliment staff/departmentI would like to make a suggestion/share a concern
Are you the patient?YesNo
Patient's Name
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Facility/Person or Department you are commenting on
Comments
What would you like to see happen as a result of your comments?Please respond and contact me backNothing just wanted to extend my feedbackOther
