page4
SECTION 3: Your complaint
We need to know what happened and why you are unhappy with the response
to your complaint. Please attach additional sheets of paper if you need more
room to set out your complaint. Please do not just say ‘see attached’ and
provide copies of previous correspondence. If the organisation has not
addressed all of the issues raised in your complaint, then we may decide that
there is further work for the organisation to do before we look at your
concerns.
6.
Please briefly explain what your complaint is about:
_12 Dec 2012 – I first attended QMC Spinal Unit. Mr Giannoulis requested a
spinal and leg MRI 24 Jan 2013. 6 Feb. See Consultant Mr Rothenfluh who will
Give me a Spinal Root Block(SRB) _
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
7.
Why are you still unhappy following the response(s) from the organisation(s)?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________