School of Allied Health, Human Services and Sport Clinic feedback form We would love to hear your thoughts and any concerns you may have, so we can improve or continue providing a great service! Please Note You can remain anonymous if you would like and not complete the Name field. Contact detailsFull name Address Suburb Postcode Would you like to be contacted by the Senior Coordinator, Clinical Services? Yes No Mode of contact By email By phone Email Contact number Additional detailsI am a -- Please Select --ClientPatientGuardianStudentStaff memberVisitor I/we attended the * La Trobe Podiatry Clinic Prosthetics & Orthotics Clinic La Trobe Eye Clinic La Trobe Communication Clinic Briefly describe the Compliment / Complaint / Feedback * Attachment (if applicable) What outcome / resolution are you seeking? * Validation Confidentiality All information provided will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application in order to handle your enquiry. In accordance with privacy laws, personal information about you contained in your enquiry will not be used for any other purpose. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting clinics via email at clinics@latrobe.edu.au The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/ Please note that you will receive a response to your complaint (in writing) within 7 working days. If you remain dissatisfied with our response, you may contact the Health Complaints Commissioner (HCC). The HCC responds to complaints about health services and the handling of health information in Victoria. Their service is free, confidential and impartial. To lodge a complaint with the HCC: https://hcc.vic.gov.au/make-complaint#section2417. Alternatively, phone 1300 582 113 between 9 am and 5 pm, Monday to Friday to discuss your complaint. Students also are welcome to lodge an online complaint with LTU’s Student Complaints area https://intranet.latrobe.edu.au/learning-and-teaching/student-support-and-engagement/student-feedback-and-communications/student-complaints
