Raise a Concern Form

CHUMS take your concerns seriously. Please use this form to let us know about any compliments, concerns about care, or service-related feedback.

This is not a referral form and is only used to consider feedback on the care service users have or are already receiving. If urgent or emergency support is needed then please contact the appropriate service below immediately.

  • Contact your GP
  • Call 111 option 2 or attend A&E for a crisis assessment
Raise a concern form

Your Details (optional for anonymity)

Details of Concern

Privacy and Follow-Up

Consent