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Home
About Us
Our Services
ASSIST/ACCESS MAINTAIN EMPLOYMENT & EDUCATION (102)
ASSIST-LIFE STAGE, TRANSITION (0106)
ASSIST-PERSONAL ACTIVITIES (0107)
ASSIST-TRAVEL /TRANSPORT (0108)
DAILY TASKS/SHARED LIVING (0115)
DEVELOPMENT-LIFE SKILLS (0117)
HOUSEHOLD TASKS (0120)
PARTICIPATE COMMUNITY (0125)
GROUP/CENTRE ACTIVITIES (0136)
Referrals
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Complaints / Feedback Form
Instructions:
Complete this online form
The Compliance Manager will contact you upon receipt of this form.
Details of the person who is making the complaint/ providing feedback.
Name*
Contact Number*
Address
Email Address*
Preferred Contact Method
Phone
Email
Letter
If you are making the complaint/feedback on behalf of another person provide the following details.
Name
What is your relationship to the person?
Does the person know you are making this complaint/providing feedback?
Yes
No
Does the person consent to the complaint/feedback being made?
Yes
No
Who is the person, or the service about whom you are complaining or providing feedback about?
Contact Details (if known)
What is your Complaint/Feedback about?
Provide some details to help us understand your concerns.
You should include what happened, where it happened, time it happened and who was involved.
Supporting Information
Please attach copies of any documentation that may help us to investigate your complaint/feedback (for example letters, references, emails).
What outcomes are you seeking because of the complaint/feedback?
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Call Us
0413 459 767
Email Us
info@beyonddiversecare.com.au
Our Location
Melbourne, VIC
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