Online Complaint Submittal Form - Medical Facilities Licensing

You will be receiving an email shortly at the email address provided in the complaint form. This email will direct you to verify the contact information entered in the complaint form. We strongly encourage you to verify your contact information to ensure an expedited response to your complaint and guarantee you are notified of complaint outcome, if you indicated the desire to receive this communication. If you have any questions or concerns, please reference the complaint ID in your email.