Health and Wellness

811 Service Feedback

Please note that we do not provide health advice through this feedback form. For health advice, please phone 811.

Please complete and submit the form below, including comments, questions or concerns to the Department of Health and Wellness.

Please note fields marked with * are required

*Patient Name:

Patient Phone Number:

*Date of Call: (Month, day, Year)

Time of Call:

Are you a - Please enter your relationship to the caller.

Patient Relative Friend Nurse Doctor Health Care Provider Other

If Other, please specify

Please provide your feedback, include as much details as possible.

Your name and phone are required for a personal response.

*Name:

*Phone Number:

Sales pitch:(enter this only if you are a sales robot)

Before submitting your feedback

For your privacy, the Department of Health and Wellness will only collect, use and disclose the minimum amount of your personal information necessary to respond to your question or address your health concerns in accordance with the Freedom of Information and Protection or Privacy Act and the Personal Health Information Act.

Any information you provide in the feedback form will be securely sent to the Department of Health and Wellness. If you have any questions about the privacy and confidentiality of your information please contact the Health Privacy Office at 1-855-640-4765.

Please note, if you wish to remain anonymous we will not be able to provide a response. In addition, we cannot respond to you regarding another individuals experience with 811 without their express consent.

Send your feedback by mail:

The 811 Feedback Form can be printed and completed by anyone wishing to discuss/inquire about the services provided by 811. Please submit this form including comments, questions or concerns to the Department of Health and Wellness. You may mail or fax your comments/questions to the address/fax number found at the top of the 811 Feedback Form.