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Patient Feedback Form

Important

Alberta Health Services values your input.

To share your ideas, suggestions, priorities & positive personal health stories, please visit Thank a Care Team!

If you have concerns related to a specific personal healthcare experience, please instead complete the BELOW form, and we will respond to you as quickly as we can (within three (3) business days). If you need to speak with a nurse you may call Health Link at 811 from anywhere in Alberta or if calling from out of province at 1-866-408-5465. If this is an emergency, please proceed to your local emergency services or hospital or call Emergency Medical Services at 911.

* indicates a required field

Your Information
I am
Patient/Client name
Contact

Contact for hearing impaired with no TTY service
Geographic Area
Map of all zones
Type of Feedback

AHS protects the privacy of individuals receiving health services in accordance with the Health Information Act (HIA). To properly review and resolve any issues, we work with the patient, or an authorized representative (usually a close family member), to gather and share information about the services received in compliance with the Patient Concerns Resolution Process Regulation 28/2016.

Personal or health information collected will only be used for the purpose of tracking, follow up, communications and trending regarding your health experience concern. Information is collected pursuant to section 33 of the Freedom of Information and Protection of Privacy Act (FOIP) and under the authority of Section 20(b) of the Health Information Act (HIA) for the purpose of administering AHS' patient complaint and feedback program. For more information, or if you have questions or concerns about the collection, use or disclosure of your health information please contact Patient Relations at 1-855-550-2555 or Email: Patient.Feedback@albertahealthservices.ca

More Info

We have been experiencing some problems with our online forms - if you are having trouble using this form please email Patient Relations at Patient.Feedback@albertahealthservices.ca.

Tell us about your health care experience!

Tell us about your health care experience - we want to hear from you. Please contact us if you have:

  • Compliments for staff, physicians, or volunteers
  • Suggestions to improve health services
  • Concerns about your care

Quick Reference