Please provide your details below.   If you would prefer to remain anonymous, please tick the box indicating or print off the form attached and send to:

Jenni Pearce

Connect Psychology

90 Opey Avenue

HYDE PARK SA 5061

Download The Feedback Form (if you don't want to fill it out online)
Anonymous
Are you a client at Connect Psychology *
Are you a family member/carer of a client at Connect Psychology *
Are you a client advocate *
Are you a member of the public *
Are you (or the person you are providing feedback for) a NDIS participant? *
Does this feedback apply to a particular team member? *
Have you discussed your feedback with the team member? *
Would you like this feedback shared with this team member? *

Next steps:

Please provide this form directly to Jenni Pearce at jenni.pearce@connectpsych.com.au or if you would prefer to remain anonymous, please post to Jenni at 90 Opey Avenue, Hyde Park SA 5061.

Jenni will provide an efficient and timely response to your feedback. Our Feedback and Complaints Policy  outlines further steps you can take.