We value your feedback as it helps us to continually improve our services to the community. We encourage you to submit any compliments, complaints or suggestions. For more information click here. Please use the form below to provide a compliment, complaint or suggestion about the service you have received from us. For further information please refer to our complete Service User Feedback Policy.
To download information about your rights and responsibilities as a service user, please click here.
If you require assistance, an advocate or an interpreter to complete this form, please ask an employee or contact our Quality Improvement Specialist on (08) 9442 3444 or email us at firstname.lastname@example.org.
Your Details (Optional)
Under 18 (unless assessed as a mature minor) your parent or guardian must consent to you providing feedback.
Person Being Represented
How do we handle your personal information?
The information we collect from you will be handled in accordance with the Privacy Act 1988.
If you would like more information please ask a member of staff or contact MercyCare on (08) 9442 3444 or via email on email@example.com.
Thank you for sharing your experience, once submitted, a MercyCare representative will contact you in regards to your feedback.