I would like to make this anonymous entry(Required)YesNoName First Last If making a complaint, or providing feedback or an idea about a client, what is your relationship to the client?Please leave blank if you wish to keep anonymousEmail PhoneDetails of your feedback, complaint, or idea(Required)How would you like Somerset Health to contact you about your feedback, complaint, or idea?Please enter your contact details if you wish us to contact youWhat do you want Somerset Health to do in response to your feedback, complaint, or idea?(Required)Please note, all information provided will be treated in accordance with Somerset Health’s Privacy Policy, in a confidential and respectful manner. If you feel your complaint has not been resolved satisfactorily or in a timely manner, you can contact the NDIS Quality and Safeguards Commission on ndiscommission.gov.au or 1800 035 544. CAPTCHA