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CONTACT
CONSENT FORM
FEEDBACK
Feedback and Complaints
Contact About U Services here.
Contact About U Services
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Feedback
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Full Name
Telephone Number (Landline or Mobile):
I am a
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Client of About U Services
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Person living with a disability
Family member of someone living with a disability
A member of the public
A staff person
Other support person
Please indicate what support you provide
When can we contact you
Preferred Method of Contact
Is the information provided on behalf of a person with disability?
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No
Do you require any help with communication eg Interpreter or National Relay Service?
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Complaint Information:
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Please provide a summary of the Issues Involved.
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Please provide any feedback about improvements or possible outcomes:
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