Complaint Form

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Name of department/ service you are contacting us about:*
What do you think they did wrong/ failed to do?*
Describe how you have personally suffered or how this has affected you:*
What do you think should be done to put things right?*
Have you already put your concern to the front-line staff responsible for delivering the service? If so, please give brief details of who and when you did so:*
If it was more than 6 months since you first became aware of the problem, please give the reason why you have not complained before now:*

Do you have any objection to us contacting you once your complaint has been resolved to ascertain your satisfaction with the service provided?
- Yes
- No
DATA PROTECTION: We will only share personal information you give us within MHA and maybe third parties (as detailed in the policy) so that we can investigate your complaint fully.
Privacy Policy*
You must accept the privacy policy before sending your message.
I agree to the privacy policy.