Complaint Form

Commissaire aux plaintes et à la qualité des services du CIUSSS de l'Estrie – CHUS

Step 1 of 5 - User's Information

Step 2 of 5 - Complainant information (if different from user)

In which capacity do you file this complaint?

Step 3 of 5 - Installation or person concerned

Step 4 of 5 - Description of incident

Step 5 of 5 - Autorisation et complaint preview

The physician concerned by the complaint will receive a copy of this form in conformity with article 47 of the Act respecting Health Services and Social Services.
Clicking « Next », you will be able to preview your declaration and may modify it if necessary before submitting it.
* Field is mandatory.