Your service your say feedback form

Use this form to give feedback about HSE services.

Before completing the form you can find out about the Your Service Your Say process and ways to give feedback.

Complaints and feedback

All items marked with an asterisk(*) are mandatory.

I would like to make a:*

Comment

Compliment

Complaint

Name:*

Address:

Phone Number:*

Email:*

Confirm Email:*

What is the name of the service you are writing about:*

Where did this happen:*

for example: Health Centre, Administrative Office, Hospital and area such as clinic/ward

When did this happen:*

In your own words please let us know what happened:*

I am over 18. For the purposes of investigation of my complaint, I grant permission to the HSE to access my personal patient confidential information. Please tick:

If you are a child or young person filling out this form please provide the name of your parent / guardian. I am under 18

Parent or Guardian's Name:

Parent or Guardian's Address:

Gabhaimid buíochas leat

Tabhair faoi deara le do thoil gur freagra ríomhphoist uathoibríoch é seo ó Fhoireann DSDB FnaSS.

Is mian linn a admháil go bhfuarthas do chomhfhreagras agus gabhaimís buíochas leat as d’fhoirm aiseolais DSDB.

Tabhair faoi deara, le do thoil, go bhfuil ard-éileamh ar sheirbhísí DSDB atá ag méadú faoi láthair agus mar sin go bhfuilimid ag rith lasmuigh dár bhfráma ama 48 uair an chloig chun comhfhreagras a sheoladh ar aghaidh chuig seirbhísí eile.

De réir pholasaí FnaSS “Do Sheirbhís Do Bharúil, Bainistiú Aiseolais ó Úsáideoirí Seirbhíse le haghaidh Tuairimí, Moltaí agus Gearáin” (2017), cuirfear do chomhfhreagras ar aghaidh chuig an oifig ábhartha a thabharfaidh freagra díreach ort.

Tá tuilleadh eolais maidir leis an bpróiseas le haghaidh aiseolais ó úsáideoirí seirbhíse ar fáil ag: https://www.hse.ie/eng/services/yourhealthservice/feedback/

Mise le meas,

Do Sheirbhís, Do Bharúil, An Bhuíon Náisiúnta Foghlama um Rialachas Gearán.

Thank You

Please note this is an auto-generated email response from the HSE’s Your Service Your Say Team.

We would like to acknowledge receipt and thank you for your YSYS feedback form.

Please note we are currently experiencing an increasingly high demand for the YSYS service and as such, we are running outside our 48-hour timeframe to forward on correspondence to service areas.

In accordance with the HSE’s “Your Service Your Say, the Management of Service User Feedback for Comments, Compliments and Complaints policy” (2017), your correspondence will be forwarded to the relevant office who will respond to you directly.

Further information regarding the process for service-user feedback can be found at: https://www.hse.ie/eng/services/yourhealthservice/feedback/

Kind regards,

Your Service Your Say, National Complaints Governance and Learning Team.

page last reviewed: 19/10/2018
next review due: 19/10/2021

Your service your say feedback form

Gabhaimid buíochas leat

Thank You

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