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Home › Standards and Regulation Division › Standards and Regulation Division Client Online Feedback Form

Standards and Regulation Division Client Online Feedback Form

We want to hear from you. Your feedback matters. Please tell us:

What worked well?
What could be improved?
What didn’t work well?

We welcome your feedback about the service we provide. Hearing from you helps us serve you better.

You can use the options below to give us feedback about the service provided at a public or private healthcare facility or any of the client interfacing branches of the Ministry of Health & Wellness.

Step 1 of 4

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Please select the type of feedback you would like to make*
Have you raised your concern with the health service provider?

Before making a complaint, try talking with your health service provider—this is often the quickest and easiest way to address your concerns or fix a problem. If you’re not satisfied with the response, or feel uncomfortable talking with the provider directly, lodge a complaint with us.

Use this form to make a complaint. Please provide as much information as you can, so we can help you.

Need help to fill in the form? Call (876 633-7187, or 633-7159) between 9am to 4:30pm, Monday to Friday.

All fields marked as (Required) must be entered.

Your Information
Name*
Title First Middle Last
Gender*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
My preferred method of contact*
- Phone
- Email
- Letter
- Mailing Address
Please indicate at least two options of communicating with you, for example, a phone number and an email address, or phone number and a mailing address or an email address and a mailing address. Keeping in contact with you is important.
Phone
Mobile
Email

If you wish to receive a confirmation email with details of your complaint please enter a valid email address
Confirm Email
How did you hear about us?
- Family Member
- Advertisement
- Social Media
- Print Media
- MOHW Website
- Healthcare Provider
- Lawyer
Your country of birth?*
Country
Do you have any special needs?*
- Yes
- No
Please state your special needs*
Are you making this complaint on behalf of someone else?*
- Yes
- No
Details of the person you are complaining on behalf of
Name*
Title First Middle Last
Gender*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
What is your relationship to the person you are complaining on behalf of?*
- Family
- Parent
- Guardian
- Legal Representative
- Power of Attorney
- Advocate
- Spouse
- Partner
Has the person asked you to make this complaint?*
- Yes
- No
Is the person a child?*
- Yes
- No
Has the person died?*
- Yes
- No

Who is this complaint about?
Please include as much information as possible
Please select the type of facility/entity the complaint is about*
Have you already complained to the health service provider?*
- Yes
- No
Have you already complained to another entity?*
- Yes
- No
Date the health service was provided
MM slash DD slash YYYY

Your Complaint
Tell us:
- What happened
- Who was involved
- When and where it happened
- When you become aware of the problem
- The main issues you are concerned with
- How has the issue affected you
Summarise your complaint*
Attach supporting information such as letters, reports, photos, invoices
Drop files here or

Accepted file types: pdf, rtf, txt, jpg, bmp, gif, png, tif, Max. file size: 128 MB.
You can add up to 5 files (one at a time) with a maximum file size each of 10mb(pdf , rtf , txt , jpg , bmp , gif , png , tif). Please note that the form submission may take a while if you attach large files. If you are having difficulty uploading the documents please send them to myexperience@moh.gov.jm.
What would you like to happen to resolve your complaint?*
- Access to treatment or service
- Acknowledgement
- Apology
- Complaint Recorded
- Explanation (about what happened and why it happened)
- Information Or Advice
- Policy/Process Change
- Staff to be receive training
- Access to Records
- Refund
- Corrective Treatment
- A Response
- Compensation/ Legal Action
- Assistance with covering medical expenses
- Update on a previous request
- Compensation
We will try to help you resolve your complaint. Please do note that a request for compensation or legal action is decided in the court and may take some time.

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Standards and Regulation Division Executive Direction and Management Division Technical Services Division Emergency Disaster Management and Special Services Financial Management and Accounting Services Division Corporate Services

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NEED SOME HELP?

Call us Monday – Friday 9am-5pm
876-633-8172 | 876-633-7771
876-633-8172 (RKA)

10-16 Grenada Way,
Kingston 5

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