Emergency
+1721 543 1111
Location
Cay Hill, St.Maarten
Home
Services
Patient Care
Careers
News
About Us
Eng
Menu
Search
Home
Services
Patient Care
Careers
News
About Us
Increase contrast
Enlarge text
Complaint Form
Read aloud
Contact Us
Compliment Form
Complaint Form
Service Enhancement Questionnaire
Material Damage Claim Form
Complaint Form
Submit A Complaint
First Name
*
Last Name
*
DOB
*
Gender
*
Male
Female
Not Relevant
Home Address
*
Phone Number
*
Email Address
*
Are you filing this complaint on behalf of someone else?
*
Yes
No
Describe the Complaint in your Own Words
*
Have you discussed your complaint with a staff member of SMGH?
*
Yes
No
What makes it important for you to submit this complaint?
*
I want it to be reported/investigated
Preventing recurrence for other patients
Acknowledgement/apology from the professionals involved
Restore trust with my healthcare provider(s)
Answers to my questions
Advice from the Complaint Officer
Do you give the Complaint Officer access to your medical file?
*
Yes
No
How do you want to be contacted about your complaint?
*
Please select
Submit
Loading contact information...