BFP Complaint Form

BFP Complaint Form

  • Your Details

    Date of Birth
    For example, 15 3 1984

  • Person raising the complaint (if different from the above patient)

    If you are complaining on behalf of someone else, we may need their consent or evidence of your authority before sharing confidential information. 

  • COMPLAINT

  • Contact Preferences

    I would prefer to be contacted by
    Do you need any communication support or reasonable adjustments?

  • Declaration

    We will acknowledge your complaint within three working days and offer to discuss how it will be handled.  Making a complaint will not affect the care that you receive. 

    DATE
    For example, 15 3 1984

  • Consent

    THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.
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Page last reviewed: 02 November 2026