Privacy Complaints Form

Trilogy Care prioritises client safety, and we will handle your information with care. Read more about our privacy policy HERE. If you are unsatisfied with the outcome of your case, you can make an aged care complaint through a variety of organisations. Learn how to make an aged care complaint HERE.

Lodge a Privacy Complaints Form below:

Privacy Complaints

Use this form to lodge a privacy complaint with Trilogy Care. You may use this form to make a privacy complaint about Trilogy Care, about a previous provider, or about one of your service providers or carers.

Your Personal Information

We handle your personal information in accordance with the Australian Privacy Principles.

While we investigate your complaint, we may need to disclose the information you provide us to the entity you have complained about. We may also need to disclose your information to others who have information relevant to your complaint.

What will we do with your information?

We will use the information that you have provided us to review your complaint. We may need to disclose this information, including your personal details and a copy of your complaint, to the entities you have complained about. We may also need to pass this information on to the others, such as review bodies who are relevant to your complaint.

What information will we collect?

We will use the information you provide us in this form to investigate your complaint. We may need to collect additional information to help us with our investigation. We may collect this information from the entity your are making your complaint about, or from others who have additional information that will assist with our investigation.

Please confirm that Trilogy Care may need to disclose your personal information:

I understand that Trilogy Care may need to disclose my personal information.

Have you previously filed this complaint? *

Yes, to Trilogy Care

Yes, to another entity

If yes, what was the first date you filed this complaint?

Your Details

First Name

last Name

Phone

Your Authorised Representative's Details

If you have an authorised representative who will be representing you in your complaint, please provide their details. If you do not have an authorised representative, please leave this section blank.

Representative First Name

Representative last Name

What is your authorised representative's relationship with you?

Representative's organisation (if applicable)

Representative Email

Representative Phone

Your Privacy Complaint

Please describe your privacy complaint in as much detail as possible. Please explain what happened, when it happened, what personal information was affected, the names of the people involved, and how and when you found out it occured.

Privacy Complaint Subject

Please provide a very short description of your privacy complaint.

Privacy Complaint Details

Please provide details about the privacy complaint.

Resolution

What actions would you like Trilogy Care to take to resolve your complaint?

Supporting Information

Maximum file size: 128 MB

Please attach relevant information that supports your complaint. Include any correspondence you have had with the entity which you are making your complaint about.