Comments, Suggestions and Complaints Form What kind of comment would you like to send? Remember this form is not for medical matters.Your comment is: Feedback Compliment Complaint What would you like to say?Enter your comments in the space belowYour contact detailsYour Name Your Email Your Contact NumberDo you agree to be contacted regarding this matter? Yes – I agree that the practice may contact me regarding this matter No – The practice is not to contact me regarding this matter