Suggestions, complaints and compliments

Do you have suggestions to make our care and services better? This form will take them to the Patient participation team.
Do you have a complaint about care? Discuss it with your healthcare provider first. Can't work it out? Then pass on your complaint to the Ombudsperson via this form.
Are you the victim or witness of a (medical) incident that has caused or may cause damage? Then report this to the Ombudperson using this form.
Would you like to thank a service or staff member after a positive experience in our hospital? The Ombudperson will make sure your compliment goes to the right place.

My contact details

First name

Last name

Email address

Ik am *

Patient

Patient representative

Date of birth

Patient details

First name

Last name

Date of birth

My message

I wish to make a *

Suggestion

Incident report or complaint

Compliment

Make a suggestion

Describe the incident or complaint

Give a compliment

Data processing

To fulfil your request and provide you with a good service, we will process the data you entered. In doing so, we will of course respect your rights. Read more about the processing and protection of your data.

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