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Lethbridge Wellness Shelter and Stabilization Unit Client Feedback Form

1.Guest Name
2.Date of Complaint
3.Date of Birth
4.Guest's Case Worker:
5.Describe your concern, providing as much detail as possible?
6.Is there anyone else who was involved, or who we should we talk with about this incident?
In keeping with our Values and the Guidelines of the Blood Tribe Department of Health, we will carefully investigate all guest concerns and complaints.

You can expect a response to your concern or complaint within one week after you submit this form. If you are not satisfied with the response, you may request a review of the decision by the appropriate senior leadership at Lethbridge Wellness Shelter and Stabilization Centre. (Use a new Guest Concern/Complaint Form to request that review). You can expect a response to your request for a review within one week.

If you are not satisfied with the response you receive from Senior Leadership at Lethbridge Wellness Shelter and Stabilization Centre you may file an appeal with Blood Tribe Department of Health by writing to Blood Tribe Department of Health CEO.