Children's Treatment Network

Complaint Form

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Children’s Treatment Network of Simcoe York (CTN) Complaint Form

First Name:

Last Name:

Address:

City:

Postal Code:

Home Phone:

( ) -

Work / Cell Phone:

( ) -

Email:

Do you need an interpreter? :

YesNo

Please describe your complaint: (provide detail about what happened, time and location, and who was involved)

When is the best time to contact you?:

Is there anything else we need to know:

Note: We will be in touch with you within 7 business days. If you prefer not to write about your complaint, please call 1-800-719-4795 Ext. 72381 (Local: 905-773-4779 Ext. 72381)

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Complaint Form

Children’s Treatment Network of Simcoe York (CTN) Complaint Form

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