Lodge a Complaint or Provide Feedback

About the form

At Jonquilla Care, your feedback is incredibly important to us. It helps us improve our services and ensure we're providing the best possible support to NDIS participants. If you have a complaint or would like to provide feedback, please use the form below. All feedback is taken seriously and handled with respect and confidentiality.

About Your Complaint/Feedback

Type of Feedback *

Date the issue or situation occurred *

Please describe your complaint or feedback in detail: *

Details of the Person(s) or Service Involved (if applicable)

Is this feedback about a specific Jonquilla Care staff member, service, or program? *

If 'Yes', please let us know the Name of Staff Member / Service / Program:

Your Details

Would you like to remain anonymous for this feedback? *

* If you choose to remain anonymous, please be aware that we may be limited in our ability to investigate or provide a direct response.

If 'No', please fill in the following fields:

Your Full Name

.

Is this complaint on behalf of an NDIS participant (who is not you)?

Participant's Full Name

Your Relationship to the Participant (if applicable)

Phone Number

Email Address

Preferred Contact Method

Desired Outcome

What outcome would you like to see from this complaint/feedback? *

Consent from NDIS participant: *

I have read and understood Jonquilla Care's Complaints Policy and Privacy Policy. I agree to the collection of this information for the purpose of addressing my complaint/feedback.