Client's Complaints and Feedback Form

Download Client's Complaints and Feedback Form

If you have any concerns or complaints regarding your current NDIS support or services offered by Care28, it is crucial to address them. Please complete the complaint form provided below, and we will aim to respond within three business days.

We are committed to maintaining the confidentiality of any information provided in a complaint and throughout the complaints process. Information will only be disclosed if mandated by law or if it is deemed appropriate in the given circumstances.

You have the option to submit a complaint anonymously by following these steps:
(a) Call us at 0422 947 376 and indicate that you want to file an anonymous complaint, ensuring that we do not request your identification.
(b) Complete the Client's Complaints and Feedback Form without including your name or any other identifying details in the table below. Then, send it to 9 Emmetts Mews, Deer Park, VIC 3023.

1. Kindly enter your information:

Date of Submission

Full Name

Contact Number

Email Address (e.g. name@company.com)

Your Role

2. Is this complaint being filed on behalf of an individual with a disability? *

Yes

3. Do you need any assistance with communication or other support services? (e.g., Interpreter)*

Yes

If assistance is needed, please specify the type of support required

4. Detail your complaint.

5. What outcome are you seeking with this feedback or complaint?

6. Consent *

I confirm that the details provided in this Client's Complaints and Feedback Form are accurate.

7. Right to Seek Advocacy
You have the option to engage support from a relative, friend, or an independent advocate when lodging a complaint. Should you need an advocate or representative, inform us, and we will ensure to collaborate with and facilitate any required support from advocates (including independent ones) or representatives.

8. How to Submit a Complaint to the NDIS Commission

A complaint can be submitted to the NDIS Commission via:

Telephone: 1800 035 544 (free call from landlines) or TTY 133 677. Interpreter services available.

National Relay Service, then request 1800 035 544.

Online at https://www.ndiscommission.gov.au/about/complaints, by filling out a complaint contact form.

The NDIS Commission addresses complaints related to:

Unsafe or disrespectful service delivery

Substandard quality of services or supports

Complaints can be made anonymously to the NDIS Commission.

9. Further Information

Fact sheet: How to Lodge a Complaint

Video: Navigating Complaints

The NDIS Complaints Management and Resolution Guidance document provide comprehensive details on the NDIS Commission’s complaint-handling process.

10. For Internal Use Only

Recorded in Complaints Register?

Complaint Manager

Complaint Reference Number

Opening Hours

Phone

Client's Complaints and Feedback Form