Consumer
Customer service
Submitting a complaint
Submitting a complaint about healthcare provider

Complaint about a healthcare provider or supplier

Are you unhappy with the way you have been treated by a healthcare provider or supplier? We appreciate you taking the time to make your complaint known to us. Once you have completed this form, your complaint will be sent straight to CZ. We will then call you as soon as possible to discuss the complaint with you.

This form contains errors. Check the fields and send again.

What is your complaint?

Details of the healthcare provider or supplier

Name of the practice/institution (not required)

Town of the practice/institution (not required)

Type of healthcare provider or supplier

Other (please specify) (not required)

Specialist field (not required)

Name of the specialist (not required)

Your details

Title

First name and surname

Do you have your CZ customer number at hand?

yes

CZ customer number

Your customer number is displayed on your CZ healthcare card or policy

Date of birth

Day

Month

Year

Postal code

House number and possible suffix

Email address

We will send a confirmation to this email address.

Telephone number

The information you provide on this form will remain confidential. A copy of your complaint will be sent to the email address you have entered.