Feedback & Complaints

All feedback and complaints submitted will be treated with the utmost confidentiality. Information provided will only be shared with individuals directly involved in the review and resolution process, and only to the extent necessary to address the issue. We are committed to protecting the privacy of all parties and ensuring that no personal details are disclosed without consent, except where required by law.

First Name *

Last Name *

Preferred Name *

NDIS Number *

Contact Number *

Email Address *

I am representing

Myself as the participantSomeone else

What is your Complaint/Feedback about? Provide some details to help us understand your concerns. You should include what happened, where it happened, when it happened, and who was involved *

Do any copies of any documentation that may help us to investigate your complaint/feedback (for example: letters, references, emails) *

YesNo

What outcomes are you seeking because of the complaint/feedback? *

Signature/Declaration *

Draw signature|Type signatureClear