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International Accreditation of Healthcare Facilities

Standards › Standard 15 › Forms

Form · OPT-FRM-005 · Version 1.0 · Approved by the ASF Expert Committee

Supports: Standard 15 (Optical and Hearing), criterion 15.6

Purpose

Records each complaint about a product or service, the review and the outcome.

How to complete

Checks

Check Entry
Product or service and date Yes
Complaint Yes
Return or replacement (yes or no) Yes or N/A
Review and action Yes
Outcome told to patient (date) Yes

Evidence

Reference Note
E-009 Based on the ASF Expert Committee consensus and the WHO World report on hearing (2021).
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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