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info@myowncare.com.au
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Home
About us
About MOC
Our Team
Our Strength
Our Values
Services
Supported Independent Living (SIL)
Short & Medium Term Accommodation (STA & MTA) / Respite Care
Assistance with Daily Living
Community Nursing Care
Social and Community Participation
Transport Support
In-Home Support
Individual and Group Activities
NDIS
Referrals
Feedback
Properties
Contact Us
Complaints
My Own Care - Complaints Form
Section 1: Your Details
Full Name *
Email *
Location *
South Australia
Other
Contact Number
🇦🇺 +61 (Australia)
🇮🇳 +91 (India)
🇺🇸 +1 (USA)
🇬🇧 +44 (UK)
Are you submitting this form on behalf of another person? *
Yes
No (Skip to Section 3)
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Section 2: Submitting On Another Person’s Behalf
Their Full Name
Their Email Address
Their Contact Number
Are you a legal representative for the person who received the service?
Yes
No
If "Yes", please provide details. If "No", what is your relation to this person?
Does the person know you are making a complaint on their behalf?
Yes
No
If "No", please provide the reason why?
Are we able to speak with the person who received the service?
Yes
No
If "No", please provide the reason why?
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Section 3: Your Complaint
Who/what was involved? *
What happened to cause you to be dissatisfied? What events led to making this complaint? *
Have you discussed this with our Human Resources/Management team for assistance involving this issue/incident? *
Yes
No
If "Yes", with whom and what was the outcome?
What outcomes would you like as a result of filing your complaint? What can we do to make this right by you? *
Is there anything extra you'd like to add?
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