GNP Doctor Ghassan N. Pharaon Healthcare
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Patient Complaint
 
It is the policy of GNP to receive, document, investigate and resolve complaints received from patients through the hospital’s formal complaint mechanism that functions as part of its risk management program. If you have any complaint, please fill in the attached form.
 
Patient Complaint Form
 
Name of Complainant:

Date:

 
 
Complainant is a:
Patient Relative to a patient Visitor
 
 
Patient GNP #:
Inpatient Outpatient
 
 
Contact Number:

Or:

 
 
Area Concerned:
 
 
Person Concerned:
 
 
Complaint:
  Time:(AM/PM)
 
   
 
 
 
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