Details of feedback

Date of service or activity (if known)

If you have a complaint, do you want to be contacted further about this?

Are you a (please tick)

PatientCarer / RelativeCommunity memberAgency

Where was the service provided ?

CarltonBraybrookBroadmeadowsDandenong

East ReservoirElizabeth (SA)FrankstonVAHS

What happens next?

Compliments and suggestion will be forwarded to the relevant staff members. If your feedback is
a complaint and you have nominated to be contacted, you will receive a response from the
Australian College of Optometry within 4 to 6 weeks. The information contained on this form will be kept confidential. The personal information will not be used for anything other than the specific purpose for which you supply it.

If you are not satisfied with the outcome of your complaint to the ACO, it is your right to make a
complaint to the Health Complaints Commissioner. The Commissioner is an independent statutory
authority established to receive complaints regarding health service providers in Victoria. For
further details contact 1300 582 113 or visit https://www.hcc.vic.gov.au In South Australia,
complaints should be directed to the Health and Community Services Complaints Commissioner https://www.hcscc.sa.gov.au

Details of feedback

Date of service or activity (if known)

If you have a complaint, do you want to be contacted further about this?

Are you a (please tick)

PatientCarer / RelativeCommunity memberAgency

Where was the service provided ?

CarltonBraybrookBroadmeadowsDandenongWyndham

East ReservoirElizabeth (SA)FrankstonVAHSKnox

What happens next?

Compliments and suggestion will be forwarded to the relevant staff members. If your feedback is
a complaint and you have nominated to be contacted, you will receive a response from the
Australian College of Optometry within 4 to 6 weeks. The information contained on this form will be kept confidential. The personal information will not be used for anything other than the specific purpose for which you supply it.

If you are not satisfied with the outcome of your complaint to the ACO, it is your right to make a
complaint to the Health Complaints Commissioner. The Commissioner is an independent statutory
authority established to receive complaints regarding health service providers in Victoria. For
further details contact 1300 582 113 or visit https://www.hcc.vic.gov.au In South Australia,
complaints should be directed to the Health and Community Services Complaints Commissioner https://www.hcscc.sa.gov.au