The Scarborough Hospital - Patient Feedback Form

Patient Feedback Form

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HOW ARE WE DOING?

Your opinions and feedback matter. Our hospital’s administrative and medical staff review all patient feedback and will provide a reply, if you so request.

To speak to somebody directly with your feedback, please contact one of our Patient Relations Facilitators:

Birchmount campus - (416) 495-2701 ext. 5424

General campus - (416) 431-8200 ext. 6433

Please Note: The form below is for responses from patients and their families only. Please do not send requests for online medical advice or consultations. We cannot respond to any specific questions about your medical condition, treatment or medications.



If you wish to discuss your comments with a member of our hospital staff, or to receive a personal reply, please tell us who you are:
Your Name (optional):
Your e-mail address (optional):
1. What type of comment would you like to send?
2. Please indicate whether you are a:
3. At which campus of TSH did you receive treatment?
4. In which department of the hospital did you receive treatment (for example, Emergency, Birthing, Surgery, Dialysis, etc.):
5. Date you entered the hospital (dd/mm/yyyy):
6. Date discharged from the hospital (dd/mm/yyyy):
7. How do you rate the overall quality of care you received at The Scarborough Hospital?
8. How well did the hospital meet your needs as a patient?
9. How likely would you be to return to The Scarborough Hospital should you need medical care again?
10. Please write any additional comments or suggestions. We welcome all feedback: