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Communication with the Ministry of Health (Suggestions/ Comments/ Complaints)
The fields marked with an
*
are mantadory.
APPLICANT INFORMATION
Name and Surname
*
:
Telephone Number
*
:
E-mail
*
:
APPLICANT INFORMATION
Name and Surname
*
:
ID Number
*
:
Telephone Number
*
:
E-mail
*
:
Relationship with the applicant
*
SERVICE INVOLVED (Hospital/ Clinic or Department)
*
:
DESCRIPTION
*
(Please provide a brief description of the incident)
*
I confirm that with the submission of this electronic form, I accept that personal and any other information included, will be forwarded to the authorized officer for assessment and then to the respective departments for further evaluation and action.
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Ministry of Health