Feedback and Complaints | AssistU Care and Support Services

Assistu care & support services

Feedback & Complaints

First Name

Last Name

Phone Number

Is this form being completed on behalf of a participant?

If Yes, Participant name?

Have you previously lodged a complaint with us?

Yes No Unsure

If Yes, was the matter resolved?

Yes No Unsure

Details of the complaint: Please provide as much detail as possible about your complaint:

How would you like your complaint to be resolved? (Please let us know what outcome you're hoping for)