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, chronology of events, 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. Complaints of this nature are accepted through this submission form and will be referred to the appropriate investigative authority. The Reviews and Investigations Program will communicate directly with the complainant if a complaint has been referred outside of the program.
Privacy Statement:
PRIVACY NOTICE: The personal information you provide to the DND/CAF is governed in accordance with the Privacy Act. We only collect personal information we need to administer the Canadian Forces Health Services Reviews and Investigations Program in accordance with the Privacy Notice for Members of the Canadian Armed Forces .
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 and quality improvement and assurance program staff in order to improve health care delivery. If your complaint does not fall within the mandate of the Reviews and Investigations Program, your information will be shared with the appropriate investigative body. In specific cases, where your complaint falls outside of our program mandate, such as a misconduct complaint, it may be shared with the National Manager of Professional Affairs or a clinic Commanding Officer. In the case that your complaint concerns an external facility, your information may be shared with a representative from that facility. In limited and specific situations, your personal information may be disclosed without your consent in accordance with subsection 8(2) of the Privacy Act. The Privacy Act gives you the right to request access to and correction of your personal information. For more information about these rights, or about our privacy practices, please contact the DND/CAF ACCESS to Information and Privacy Coordinator. You also have the right to file a complaint with the Privacy Commissioner of Canada regarding our handling of your personal information.
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.
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.
***Accessibility:
The Defence Team welcomes feedback on any accessibility barriers that you may have encountered in dealing with the Department of National Defence (DND) or Canadian Armed Forces (CAF) as well as feedback on the Defence Team’s accessibility plans and progress reports. Defence Team Accessibility Feedback and Request Form - Canada.ca
If you have any difficulties accessing the webform or completing a submission, please contact the Defence Team Accessibility Office.