Consumer Feedback Form

Consumer feedback is a way for you the consumer to inform us of your experience with Mildura Health Private Hospital. You can share your experience with our services including suggestions for service improvement or simply to complement the team if you were happy with your episode of care.

Whatever you have to say, your feedback is valued and we encourage you to fill out this form.

Feedback can be directed to the Chief Executive Officer and/or the Director of Clinical Services, Mildura Health Private Hospital – PO Box 751 Mildura Victoria 3502.

We encourage you to provide us with as much detail as possible to enable a thorough assessment of your feedback e.g. name of ward/area, date, time, staff names.

Consumer lodging this feedback: *

PatientParent / Carer / GuardianVisitorOther

Please select the type of feedback: *

Compliment Suggestion / Feedback/ Ideas Complaint / Concern

Date event occurred *

Please provide details of your feedback

All feedback is confidential.

Do you want us to contact you to discuss your feedback following our review? If YES, please provide details below: *

YESNO

First Name

Last Name

Address

City

Postcode

Email

Your feedback will be reviewed within 24 - 48 hours.