Contact Patient Relations

Name of the patient: (required)

Date of birth of the patient (yyyy-mm-dd): (required)

Your name (required)

Your relationship to patient: (required)

Your phone number: (required)

Your email address: (required)

Hospital campus: (required)
GeneralCivicRiversideOtherUnknown

Primary reason for email: (required)
ComplimentConcernBothAccessibility

Additional comments:

The Ottawa Hospital will respect your privacy and remove your name and contact details if posting your feedback to the website.

Recaptcha response

Privacy Policy