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MidCentral DHB General Enquiry/Feedback Form

Use this form to make a general enquiry or provide feedback for all MidCentral DHB services/departments. Your enquiry/feedback will be sent to the Communications Unit.

If your feedback is a compliment or a complaint about a health care service you have received please fill in this form.

* Denotes a mandatory field

A copy of your submission will be sent to your email address.

Your Details:

Your Details

*First Name:

*Last Name:

*Email Address:

Contact Phone:

*Message: Message cannot exceed 4,000 characters.

Message

Please note: attachments must be smaller than 8MB in size. Only the following attachment types can be accepted: .DOC, .DOCX, .PDF, .RTF, .TXT.

Attachment:

Please Note:

Provide as much information as you can to help us answer your enquiry. If you have a lot of text, please attach a file.
Enquiries/feedback will be processed as soon as possible – usually the same day (Monday to Friday).
This service is available between 8am to 5pm New Zealand time (+12 GMT or +13 GMT daylight savings) Monday to Friday. Enquiries sent in the weekend will be processed the following Monday.
You should receive an acknowledgment confirming your enquiry/feedback has been received. If you don't receive an email, please check your junk email folder.
If you require further assistance, please email the Communications Unit or refer to the Contacting Services/Departments page for a telephone number.

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Last Updated 01/08/2011