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Dissatisfaction form

The personal information you provide to us is confidential. It is protected and treated in accordance with the law. A complaint may be made by a person who uses the services of an organization or their representative.

For the purpose of processing your request, please note that the Service Quality and Complaints Commission of the CIUSSS de la Capitale-Nationale may confidentially share information regarding your request with persons or entities that are directly or indirectly involved with or related to your request.

You may file a complaint with the Service Quality and Complaints Commissioner of the CIUSSS de la Capitale-Nationale. The Commissioner will always treat your complaint with concern. Their mandate is to process your complaint, evaluate its seriousness and investigate the facts with those involved.

How to reach us?

By phone: 418 691-0762 or, toll free, 1 844 691-0762
By fax: 418 643-1611
By email : commissaire.plainte.ciussscn@ssss.gouv.qc.ca
By mail :
Service Quality and Complaints Commissioner
CIUSSS de la Capitale-Nationale
2915, avenue du Bourg-Royal
Québec (Québec)  G1C 3S2

Useful links

 


User identification
Address
Did you attempt to resolve this problem with the staff member or his/her immediate superior before contacting the Commissioner’s office?

Identification of the author of the complaint (if other than the user)
Address

Event details

Description of the facts

Expectations
I certify that the information provided on this form is accurate.
I authorize the Service Quality and Complaints Commissioner of the Capitale-Nationale CIUSSS to forward a copy of this complaint to the manager involved in my complaint.