Hospital Authority Feedback Form

Your comments and suggestions are valuable and important for us to improve our service. All feedback received will be directed to appropriate departments and reviewed for appropriate follow-up actions.

Please read this notice before you submit any Personal Data to us and refer to our Privacy Policy for details.

Fields marked with * are required.

* What kind of comment would you like to raise?

Enquiry	Complaint	Recruitment Enquiry
Feedback / Suggestion	Appreciation	Contents on HA Corporate Website

* Which institution is your comment about?

Hospital Authority
Hospital
General Out-patient Clinic
Others

Name of the concerned department / institution (if known)

* Your comment (Maximum 4000 characters)

Personal Information:
*	Title:	Mr. Ms. Miss Mrs. Other
*	Name
	Patient's Name		Same as above
#	Place of Residence
*	(Please provide us with your contact so that we can follow up with you wherever necessary.) (If you want us to contact / reply to you on the issues raised, please provide at least one contact information to us.) Please provide us with at least one contact method:
#	E-mail	*Valid e-mail can contain only letters, numbers, @ , . , - , _
#	Address
#	Tel
#	Fax

You may also send your enquiries to email enquiry@ha.org.hk and Appreciation / Complaints / Feedback / Suggestion to haho_cm@ha.org.hk.

Need technical assistance? Please email to webadmin@ha.org.hk

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