Patient Complaint Submission Form

The reviews and investigations program has a mandate of completing Quality of Care (QoC) reviews with the goal of improving health care within the CAF both domestically and abroad.  CFHS depends on member complaints in order to identify health care issues and make meaningful change.

The process of investigation includes a review of the medical dossier and possible interviews with individuals named within the complaint(s).  The report that will be created as a result of the complaint analysis includes background information, timelines, collateral information if required, conclusions, and recommendations.

The reviews and investigations program is not a disciplinary entity and it does not investigate clinicians accused of malpractice, incompetence or abuse of any kind. Those matters are better dealt with by the National Manager of Professional Affairs.

Privacy Statement:

The information collected within this form is done so for the purposes of documenting, reviewing and substantiating your complaint. The information provided in your complaint submission form will be shared with and used by the Health Services Reviews and Investigations program.

In accordance with the Privacy Act, paragraph 8(2), the personal information relating to your complaint is being disclosed for the sole purpose of providing assistance in resolving the complaint. Unless permitted under subsection 8(2) of the Privacy Act, this information cannot be disclosed to a third party without the complainant’s written consent. (Privacy Act (justice.gc.ca))

Following the triage of your complaint, more information may be required by your local clinic, a dental representative, or a health services analyst in an effort to resolve the complaint.

The information contained in your submission will be retained in accordance with relevant governmental policies as it relates to the retention of personal information.

Should you have questions or concerns regarding the complaint submission form or process, please email: healthservicesinvestigations-investigationsdesservicesdesante@forces.gc.ca

Please Note: all data entry fields noted as “required” must be completed or the form will not submit.