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Forest Hall / White Swan: 0191 259 9666
Garden Park: 0191 289 2525
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Menu
Home
About Us
Contact
Have your Say
Making the most of your Practice
Meet the Team
Doctors
Nurses
Practice Team
Our Allied Health Professionals
Practice Policies
At the Practice
Data
Patient Record
Patient Rights
Website
Regulations & Governance
Teenage Friendly
Clinics & Services
Appointments, Tests & Referrals
Appointments
Referral for Further Care
See a Doctor or Healthcare Professional
Tests & Investigations
Clinics
Online Services
Patient Record
Learn My Way
NHS App
Practice Services
Forms
Keep us up to Date
Health Review Forms
Help & Support
News
Stephenson Park Health Group
>
Forms
>
Complaints Form
Complaints Form
Please ensure you have read our
Complaints Leaflet
prior to completing this form.
Complaints
First Name
*
Last Name
*
Email
*
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
Phone Number
*
Surgery
*
Forest Hall Health Centre
Garden Park
White Swan
Your named GP
Details of your Complaint
*
Your confirmation
*
I understand the practice complaints procedure and timelines to be followed.
Privacy Policy
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our
Privacy Policy
to discover how we protect and manage your submitted data.
Your consent
*
I consent to the Practice collecting and storing my data from this form.
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About Us
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Have your Say
Making the most of your Practice
Meet the Team
Doctors
Nurses
Practice Team
Our Allied Health Professionals
Practice Policies
At the Practice
Data
Patient Record
Patient Rights
Website
Regulations & Governance
Teenage Friendly
Clinics & Services
Appointments, Tests & Referrals
Appointments
Referral for Further Care
See a Doctor or Healthcare Professional
Tests & Investigations
Clinics
Online Services
Patient Record
Learn My Way
NHS App
Practice Services
Forms
Keep us up to Date
Health Review Forms
Help & Support
News