Compliments - Complaints - Feedback

Our service is committed to providing high quality care and services and meeting your needs.

You can read about our Compliments, Complaints & Feedback Policy here.

Easy read information about this process and what you can expect are also available here.

We value your feedback – including complaints.

Please let us know what we do well and where we can improve our services.

Date of Lodgement *

This is a *

ComplimentComplaintFeedback

Participant details

First Name *

Last Name *

Email Address *

Phone Number: *

Is the participant under 18 *

YesNo

Is the participant completing and submitting the form *

Yes No

Full name of person completing and submitting the form *

Please identify your relationship to the participant *

Are you a legal representative for the person who received the service? *

YesNo

Does the participant understand and give permission for this form is being submitted *

YesNoParticipant is unable to give informed consent, I have authority to give consent on behalf of participant

Is an interpreter required *

YesNoAuslan

What language is required *

Would you like your details to remain anonymous *

YesNo

Details of other person involved

Other Person First Name *

Other Person Last Name *

Role/ Position at All Walks of Life *

Other Person email address

Other Person Phone Number

Details of Incident

Date occurred *

Please provide full details, including what events led to making the complaint, compliment or feedback, approximate dates and who was involved - up to 2000 character limit) *

If more space is required, upload any additional word/PDF document outlining further details of your compliment/complaint/feedback here

Browse

Are we able to speak with the person who received the service? *

YesNo

If no, please provide the reason why: *

What action have you already taken in relation to this compliment/complaint/feedback?

Have you discussed your concerns with our service or another agency or person for assistance with these concerns? *

YesNo

If yes, with whom and what was the outcome? *

Resolution

What outcomes would you like as a result of providing your feedback? *

Where you can go for more information

We are committed to supporting you in managing any concerns you may have. If you are not satisfied with how this has been handled, you can also contact the NDIS Commission.

A complaint can be made to the NDIS Commission by:

Phoning: 1800 035 544 (free call from landlines) or TTY 133 677. Interpreters can be arranged.
National Relay Service and ask for 1800 035 544.
Completing a complaint contact form.

The NDIS Commission can take complaints from anyone about:

NDIS services or supports that were not provided in a safe and respectful way
NDIS services and supports that were not delivered to an appropriate standard
how an NDIS provider has managed a complaint about services or supports provided to an NDIS participant

As well as dealing with complaints, the NDIS Commission works to educate providers about delivering quality and safe supports, and effectively responding to complaints. If a complaint raises a serious compliance issue, the NDIS Commission has powers to take action

Privacy

All Walks of Life Occupational Therapy is committed to protecting your privacy. We collect and handle personal information that you provide on this feedback form for the purpose of investigating and responding.

Your information will be treated confidentially. You can read more about our 'Privacy & Confidentiality Policy' here.

All Walks of Life Occupational Therapy will only use your information in accordance with relevant privacy and other laws.

If you wish to contact Lee-Arna Fitch, Managing Directorwho is responsible for managing the personal information that you provide on this form,

please call 0421697156 or email leearna.fitch@allwalksoflife.com.au