Patient Feedback Form


Alberta Health Services values your input.

To share your ideas, suggestions, priorities & positive personal health stories, please use Your Voice!

If you have concerns related to a specific personal healthcare experience, please instead complete the BELOW form, and we will respond to you as quickly as we can (within three (3) business days). If you need to speak with a nurse you may call Health Link at 811 from anywhere in Alberta or if calling from out of province at 1-866-408-5465. If this is an emergency, please proceed to your local emergency services or hospital or call Emergency Medical Services at 911.

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Your Information
I am
Patient/Client name

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Geographic Area
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Type of Feedback

AHS protects the privacy of individuals receiving health services in accordance with the Health Information Act.To properly review and resolve any issues, we work with the patient, or an authorized representative (usually a close family member), to gather and share information about the services received in compliance with the Patient Concerns Resolution Process Regulation 124/2006.

Personal or health information collected will only be used for the purpose of tracking, follow up, communications and trending. Information is collected pursuant to section 33 of the Freedom of Information and Protection of Privacy Act and under the authority of sections 20(b) of the Health Information Act (HIA) for the purpose of administering AHS' patient complaint and feedback program. For more information, or if you have questions or concerns about the collection, use or disclosure of your health information please contact Patient Concerns Officer / Executive Director of Patient Relations at 1-855-550-2555 or Email:

We have been experiencing some problems with our online forms - if you are having trouble using this form please email Patient Relations at

Tell us about your health care experience!

Tell us about your health care experience - we want to hear from you. Please contact us if you have:

  • Compliments for staff, physicians, or volunteers
  • Suggestions to improve health services
  • Concerns about your care

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