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Complaints Form

NHS North East London ICB Complaints Form

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Your details

Name(Required)
Enter your full address including postcode(Required)
Do you consent to us investigating your complaint?(Required)
If you are complaining on behalf of someone else, do they give cons-ent for us to investigate their complaint?
Click NA if this is not applicable
Is your complaint about your GP(Required)

GP practice details (name, address, and telephone number)

GP practice address

Tell us what happened

Please tell us what happened in under 500 words. Please tell us the facts.
Include any screenshots, logs, or documents that may help our support team resolve your request faster.
Max. file size: 64 MB.

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