Current Page 1 Preview 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 First Name Last Name Can we contact you for more information? - Select -YesNo Email Address You will receive a confirmation of this submission to the email you provide here. If you indicated that you wish us to contact you, we will use this email address. Please make sure it is entered correctly. Telephone Number For example 902-555-5555 Feedback Describe the event. Include the date and location where the event occurred. What happened and the order in which things happened. Where possible, include dates and list any phone calls, letters or meetings that took place. CAPTCHA