PALS Enquiry form

Questions or concerns about your care:

Please complete the form below if you wish to ask a question or raise a concern about your care.

Questions or concerns about someone else's care:

Please complete the form below, but note that we will need written consent from the patient to proceed. Please print out this consent form below and if you are able to scan the completed form attach it to the form below or email to

Alternatively, please send it by post to:

Kent and Canterbury Hospital
Ethelbert Road