Ko koe ki tēnā, ko ahau ki tēnei kīwai o te kete
You take that handle of the basket and I'll take this one

Thank you for taking the time to share your experience. Your feedback helps us improve and ensures our services meet expectations. This form is designed to be simple and respectful of your time.

Please share as much information as you are comfortable providing but avoid including details from your counselling sessions. If we need to discuss anything from those sessions, we will reach out to you directly.

If you’d prefer to complete this over the phone, please call 0800 284 678.

Please fill up the following form

1. About You

2. What Happened

3. Previous Actions

4. Consent & Privacy

We respect your privacy. Your information will only be used to resolve your concern and will be stored securely in line with the Privacy Act 2020. You can access or correct your information at any time. For more information on your rights, please visit this link to the Health and Disability Services Consumer Rights page.

What Happens Next

  • You’ll receive an acknowledgment within 2 business days.
  • We will investigate your concern thoroughly. 
  • You will be updated within 10–15 business days. Complex cases may take longer. 
  • We will let you know the outcome and any follow-up actions. If urgent, contact us on 0800 284 678 or you can email [email protected].
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