You may make an anonymous complaint, but if you do, the Medical Council's ability to deal with the complaint is likely to be limited.
Every reasonable effort will be made to safeguard your privacy and the confidentiality of your personal medical records and those of any
person to whom your complaint relates.
Have you spoken with anyone from the Medical Council prior to lodging this complaint?
Please provide the name of the medical practitioner this relates to:
Where did the incident occur?
Hospital or Health Facility
If you know it, please provide the address where the incident occurred:
Please provide as much detail about the complaint as possible. What happened (including when it happened, time, dates, actions and
any specific details you believe are relevant), were there any other people present, what treatment was being received:
During the assessment of the complaint specific details of the complaint are provided to the medical practitioner to seek a response from him/her.
Have you approached the medical practitioner about this complaint?
Have you spoken to anyone else about this complaint?
Is there any additional information you wish to provide?
It may be necessary for the Medical Council to access personal health records in handling this complaint.
Please note that if you are lodging this complaint on behalf of another person, it will be necessary for the Medical Council to ask
that person whether the Council may have access to his or her personal health records.
A copy of your complaint will be provided to the medical practitioner, to ask for a response.
Do you agree to this?
The Medical Council must deal with all complaints promptly. It assesses all complaints in conjunction with the Health Care Complaints Commission.
We may need further information to make enquiries and to properly assess your complaint.
By submitting this form and including your name and contact details, you agree to receiving contact from the Medical Council and/or the
Health Care Complaints Commission for this purpose.
The Health Care Complaints Commission is a statutory body established to investigate and prosecute the most serious complaints.
The Medical Council and the Health Care Complaints Commission must consult with each other on the appropriate course of action for all complaints received.