FHT COMPLAINT FORM

Making a Complaint about an FHT member

About this form

Please use this form to tell us about your complaint - so that we can see if we’re able to help you. This form should be read in conjunction with the FHT Code of Ethics and Professional Conduct Procedure available on our website www.fht.org.uk/complaint

If you need help with this form, please telephone FHT and we will do our best to help you.

Please continue on additional pages, if required.

First, please give us your details……….

Please note that it may be possible to accept anonymous complaints (where the person making the complaint does not give their name) where the information given relates to professional misconduct, bringing the FHT into disrepute or serious allegations about an FHT member’s fitness to practise however if it is anonymous you will not be updated.

Surname / Title
First name (s)
Address / Postcode .
Telephone
Email

And the details of the person you are complaining about……….

Name
Address / Postcode .

Please provide details of the compaint……….

Which section of the Code of Ethics does your complaint relate to? www.fht.org.uk/code
On which date(s) or over what time period did the event(s) take place?
Where did the event take place? / .
Please provide a description of what happened. (continue on a separate sheet if necessary?
Please advise us why you feel the events contravened the Code of Ethics?
Did anyone else see what happened? (if so, please provide name and contact details
If your complaint is upheld, what would you see as an acceptable resolution?


Have you reported this matter to anybody else (e.g. police, the person’s employer, the industry regulator, another professional body)? Yes No

If yes, who and what was their response/outcome?
Please keep us updated

Do you have supporting evidence……….

Please list below any additional documents that you are including in support of your complaint

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Finally, please read and sign this declaration……….

I would like the Federation of Holistic Therapists to consider my complaint. I confirm that all the information I have given is true and accurate to the best of my knowledge.
By signing this declaration I confirm that
1.  I give permission for the FHT to handle personal details about me, which could include sensitive information, in order to deal with my complaint effectively.
2.  I give permission for the FHT to pass the details of my complaint (including my name – unless anonymous) to the FHT member concerned as part of the complaint procedure if required.
3.  I have read and understood the FHT Complaints procedure (available on line at www.fht.org.uk/complaint.
Sign here
If you are making the complaint on behalf of another person, both parties must sign to show that permission has been given to make the complaint.

Signature Signature

Date Date
Make sure you have…..
ü  Completed the form in full
ü  Included everything you want to tell us about your complaint
ü  Enclosed copies of any supporting information / Please post completed form to…….
Registrar
FHT
18 Shakespeare Business Centre
Hathaway Close
Eastleigh
Hampshire
SO50 4SR

Federation of Holistic Therapists, 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hampshire, SO50 4SR

Tel: 023 8062 4350 | Fax: 023 8062 4399 | E-mail: | Web: www.fht.org.uk

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