Medi-Forte

Please Note: All complaints should normally be made within 12 months of the date of the event complained about. The time limit can be waived if you give good reasons for missing it and the complaints manager decides a fair investigation is possible.

Patients Full Name * Date of Birth *

Address Phone Number *

Email Date of Visit *

Your Complaint *

If you are submitting a complaint on behalf of someone else, we need to know that you have their permission to do so in order to ensure we maintain patient confidentiality. If you’ve their permission please put your name below.

Complaint Submitted by *

You can also complain in person to any member of staff, by telephone on 0161 309 6979, or by email to info@medi-forte.com. Read our Complaints Policy for full details.

Patient Complaint Form