KiboeElorahKapelle-OM202618 KiboeElorahKapelle-OM202618

Complaint form

Complaint form

It may happen that you are less than satisfied. Do you have a complaint? Please discuss this with your Branch Manager first. If you are unable to resolve the issue, please let us know via the complaint form. We will handle your complaint according to the interne klachtreglement.

Name
Address
MM slash DD slash YYYY
Your type of care
MM slash DD slash YYYY
Max. file size: 1 MB.
You can optionally add a file to the form here.