Feedback Form

We at Hospice Waikato, we are committed to providing high-quality care to our patients and their families. We are always looking for ways to improve our service, so your feedback is very important to us.

What is your feedback about? *
 
Contact Name *
 
Email Address *
 
Best Contact Phone Number *
 
Are you providing feedback on another's behalf?
 
If yes, please provide the full name and contact information of the person
 
Please provide your feedback below: *
Please tell us about your experience in as much detail as possible, include the dates and names, if possible of people involved.
 
Any additional comments?
If you have a comment, recommendation, or suggestion on how we can improve our services, please provide as much detail as possible, thank you.
 
 
Privacy Statement
Hospice Waikato is committed to protecting your privacy.
We will only share the information you’ve provided with the appropriate medical and management teams for the purpose of investigating and responding.