ELMS Complaint Form

Your Details

Name *

Phone Number

Email Address *

Patient Details

Name

Date of Birth

Address

Date of Consultation

Complaint

Your Complaint *

This form collects your name, contact details, and information relating to your complaint. The information you provide will be used solely for the purpose of investigating and responding to your complaint, and for monitoring and improving our services where appropriate. Your personal data will be processed in accordance with data protection legislation, including the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018. We will only share your information with relevant parties where it is necessary to address your complaint, where we are legally required to do so, or with your explicit consent. For further details on how we manage and protect your information, please refer to our Privacy Policy. *

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Page last reviewed: 10 November 2025
Page created: 18 August 2025

ELMS Complaint Form

ELMS Complaint Form

Further Information