Health PEI Compliments and Complaints

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Personal information on this form is collected under the authority of Section 31(c) of the Freedom of Information and Protection of Privacy Act and will be used for the purposes of resolving or responding to your compliment or complaint. Questions on the collection and use of this information can be directed to Health PEI at healthpei@gov.pe.ca.

Identification
For example 902-555-5555
Compliments and Complaints
For example: yyyy-mm-dd
Example: QEH, Colville Manor, Harbourside Health Centre, etc.
Example: Unit 1, Emergency Department, Diagnostic Imaging, Medical Clinic, etc.
What happened and the order in which things happened. Where possible, include dates and list any phone calls, letters or meetings that took place.
1 + 1 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.