Complaint Form

Print

Complaint Form

Please correct the field(s) marked in red below:

Excellent customer service is a top priority of the Person County Health Department. If you feel you have not received quality service, please let us know by filling out this Consumer Complaint.Concern Form. All complaints will be reviewed by the Management Staff or appropriately designated staff, and where indicated, action will be taken to resolve the issue. All complaints are private and no consumer will be discriminated against for submitting a complaint form.
1
 Today's Date
 *
2
Complaint or Concern
 *
3
A member of the Health Department staff will contact you. However, your name and contact number will remain private.
 *
A member of the Health Department staff will contact you. However, your name and contact number will remain private.
  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code