Complaint & Feedback Form

Use this form to raise a complaint or concern about Coleebri Health services, staff, appointments, home visits, clinic services, or self-collection kits.

We acknowledge complaints within 3 working days and aim to complete investigations within 30 working days. If more time is needed, we will explain why and keep you updated.

Section 1: Your Details

Date complaint received

This can be adjusted by Coleebri Health if the complaint was first received another way.

Your name

Are you raising this complaint as

If you are not the patient, please explain your relationship

Contact number

Email address

Postal address, if correspondence by post is needed

Preferred contact method

Section 2: Complaint Details

Patient name, if different

Date of service or incident

Service location

Service or product this relates to

Complaint category

Staff member involved, if known

What happened?

Please include key dates, names, locations, and what caused your concern.

How did this affect you or the patient?

What outcome would you like?

Supporting documents or images

Click to choose a file or drag here

Size limit: 50MB per file

Please upload only documents or images needed to explain your complaint.

Permission to contact you about this complaint

If needed, may we review relevant care, booking, order, or communication records?

What happens next

Your complaint will be recorded in the Coleebri Health complaints log and reviewed by the Registered Manager or delegated lead. We may contact you for clarification if needed.

If you remain dissatisfied after our response, you may contact the Care Quality Commission about quality or safety concerns. For self-collection kit sales disputes, you may also contact the Citizens Advice Consumer Service on 0808 223 1133.

I understand my information will be handled confidentially for complaint management

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Complaint & Feedback Form

Section 1: Your Details

Section 2: Complaint Details

Section 3: Consent and Next Steps

What happens next