Clear search fields
Keywords
Postal code or address (optional)

Complaint Form – CISSS de la Montérégie-Centre

Before submitting a complaint, we suggest that you discuss the problem with the caregiver concerned or his/her superior. You can also submit a complaint by E-mail : commissaire.cisssmc16@ssss.gouv.qc.ca

The information submitted is CONFIDENTIAL.

 

STEP 1 OF 4 - IDENTIFICATION OF THE USER
Location Concerned (Hôpital Charles-Le Moyne, Hôpital du Haut-Richelieu, CLSC (please, specify the site), CHSLD (please, specifiy the site), others.
STEP 2 OF 4 - IDENTIFICATION OF THE LEGAL REPRESENTATIVE (IF APPLICABLE)
Complete this section only if the complaint is not lodged by the user.
STEP 3 OF 4 - THE COMPLAINT – STATEMENT OF THE FACTS
STEP 4 OF 4 - USER’S EXPECTATIONS
Maximum 5 files.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, txt, rtf, pdf, doc, docx, ppt, pptx, xls, xlsx, svg.
Your e-mail address