Online Complaint Form

If you are not satisfied with a service provided by a health, disability or mental health service provider, or you are concerned with the health, conduct or performance of a registered or unregistered health practitioner, it is your right to make a complaint.

Before making a complaint to the Health and Disability Services Complaints Office (HaDSCO), try talking with the service provider, this is often the quickest and easiest way to address your concerns or resolve the problem. For information on talking with the provider, see Making a complaint - Tips and advice.

If you are not satisfied with the response or feel uncomfortable talking with the service provider directly, complete this form to lodge a complaint with HaDSCO.

Before you complete this form

In order to complete and submit this form, you must provide a valid email address. This field is mandatory to enable you to receive a copy of your complaint submission for your review and reference. If you do not have an email address, please download and print the complaint form (PDF), which you may return by post.

Please note that your session to complete this form will expire after two hours and you will lose all data. To avoid the loss of data, please submit this complaint form within two hours. The details on the form should not take long to complete, but it is best to set aside sufficient time to avoid session expiry. Make sure you have all the information you need to complete the form including supporting documents that you would like to attach to the form. If you need more time to complete and submit this form, please download and print the complaint form (PDF), which you may return by post or email.

At the end of this form you are required to sign an authorisation statement. To do so you simply need to type your name in the boxes. Failure to complete the authorisation statement will result in your complaint not being submitted to HaDSCO.

This form has mandatory fields which are marked with an asterisk *. These fields must be completed before you can move on to the next section of the form.

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What state or territory did you receive the service in? *

Which type of service provider is your complaint about? *

Was the service received as a: *

A public patient is someone who either does not have, chose not to, or was not required to use their health insurance to pay for the service provided.
A private patient is someone who used their health insurance to pay for some or all of the service provided.

Please enter the details of person who received the health, disability or mental health service

Do you need an interpreter? *

Do you have an ongoing disability? *

Please note that HaDSCO can only deal with complaints relating to health, disability and mental health services. If you are unsure what type of service provider you wish to complain about, please contact HaDSCO.

Please note that HaDSCO can only accept complaints that occurred within Western Australia (includes the Indian Ocean Territories).

If the service you received occurred in another state or territory, please view the relevant interstate organisations.

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