Medical Misconduct Complaint Form

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Filing complaints about a doctor, hospital, or provider

https://www.medicare.gov/claims-appeals/file-a-complaint-grievance/filing-complaints-about-a-doctor-hospital-or-provider

To file a complaint about conditions at a hospital (like rooms being too hot or cold, cold food, or poor housekeeping) contact your State’s department of health services. Your …

File a Complaint - New York State Department of Health

https://www.health.ny.gov/professionals/doctors/conduct/file_a_complaint.htm

File a Complaint. If you wish to file a complaint, please review How to Choose the Right Physician - How to Tell Us if You Don't before printing and filling out a complaint form.. …

Place a Complaint - Texas Medical Board

https://www.tmb.state.tx.us/page/place-a-complaint

Place a Complaint. The Board investigates complaints against physicians, physician assistants, acupuncturists, surgical assistants, respiratory care practitioners, medical …

Complaint Form - New York State Department of …

https://www.health.ny.gov/forms/doh-3867.pdf

Office of Professional Medical Conduct Central Intake Unit Riverview Center 150 Broadway- Suite 355 Albany, NY 12204-2719 (This form must include your original …

File a Complaint | MBC - Medical Board of California

https://www.mbc.ca.gov/Consumers/file-a-complaint/

You must fill out a separate complaint form for each physician or other healthcare provider you wish to file a complaint against. Except for special circumstances, complaints must …

How to File a Complaint with the Medical Board

https://www.dca.ca.gov/consumers/complaints/medbd.shtml

There are three ways that you can file a complaint: Call to have a Complaint Form mailed to you either through the toll-free line (1-800-633-2322) or by calling (916) 263-2424, OR. …

Complaint Department - North Carolina Medical Board

https://www.ncmedboard.org/resources-information/consumer-resources/complaint-process/file-a-complaint

[email protected]

File a Complaint - Nevada State Board of Medical …

https://medboard.nv.gov/Patients/File_a_Complaint/

You may use either of the forms provided below to file a Complaint with the Nevada State Board of Medical Examiners. Instructions for each are included on the …

Complaint - Oklahoma Medical Board

https://secure.okmedicalboard.org/complaint/

Oklahoma State Board of Medical Licensure and Supervision:: 101 NE 51st St, Oklahoma City, OK 73105-1821 Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints …

Health Professions Complaint Process - Washington …

https://doh.wa.gov/licenses-permits-and-certificates/complaint-and-disciplinary-process/health-professions-complaint-process

Send your complaint through online storage services (Dropbox, Google Drive, etc.) Send using a secure email service that require login credentials. Send pictures of your filled out …

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