Parkland Hospital

5201 Harry Hines Blvd.
Dallas, Texas 75235
214.590.8000
Map It

Your feedback is important to us. Please complete each of the items below and provide as much detail as you can. A Parkland representative will respond to you by the next business day. Thank you.
	(* denotes required field)
Date of occurrence:*
Who is the complaint against?:* (pull down to choose)
Where did this incident happen?:*
Explanation of incident:*
First Name:*
Last Name:*
Phone Number:* (please provide a phone number where you can be reached if necessary)
Email Address:*
Confirm Email:*