Complaint Procedure

Complaint form

(you can download the complaints procedure here)

With this complaint form we want to help you formulate your complaint as clearly as possible. In this way, we can consult with to resolve a problem in a way that is satisfactory to you.

Name

Address

Residence

Zip code

Phone number

Email address

Name of practitioner

Core of your complaint (please state in your own words what you are not satisfied with)

What do you think we/the practitioner/another person should have done?

Have you discussed your dissatisfaction with a GGZonline employee?

If so, who was that employee?

What do you suggest as a good satisfactory solution?

How can we most easily reach you? Phone: Time of Day: Which Day:

4 + 6 =

Complaint form

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