There are two ways to file a complaint:

• Online
• Printable (PDF)

Please ensure your complaint includes:

• First and last name of your health care provider
• Location (address) where you received health care services
• Detailed timeline of events of your health care services
• Explanation of the issues of your complaint

Translated Complaint Forms:

Spanish -  Español

Vietnamese - tiếng Việt

Russian - русский

Marshallese - Kajin M̧ajeļ

Ukrainian - Українська (Ukrajins’ka)

Simplified Chinese - 简化字

Complaint Resources: 

Whistle Blower Waiver (English)

Whistle Blower Waiver (Español)

What Happens After You File a Complaint

The Disciplinary Process

Look Up a Practitioners License Number

File a Complaint About Another Health Care Profession or Facility

Frequently Asked Questions About Filing a Complaint

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