Health Department Grievance / Complaint Form

Form used to lodge complaints related to government hospital services, staff behaviour, facilities or schemes.

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Before You Start

Fee

Free / Nominal

Estimated Time

15–20 mins

Mode

Online

Difficulty Level

Easy

Last Updated:07/01/2026

Form used to lodge complaints related to government hospital services, staff behaviour, facilities or schemes.

Patients

Attendants or caregivers

Type of Complaint

select

What to enter: Nature of health-related grievance.

Example:

Service Delay

01
Submit grievance
File complaint with health department or hospital authority.

Complaint details

Mandatory

Hospital visit reference (if any)

Mandatory

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