Division of Health Facilities Evaluation and Licensing

File a Complaint

Note: Because we may need specific information to properly handle your complaint, we cannot accept complaints by e-mail from people who prefer not to give us their contact information. However, please note that when investigating complaints, the department does not reveal the indentity of the complainant. If you still wish to remain anonymous, please file your complaint by calling 1-800-792-9770.
This form can be used to report complaints about licensed health care facilities under the jurisdiction of the Division of Health Facilities Evaluation and Licensing.

Identify the facility
Complete some or all of the fields below.
Facility Location:
         
Type of Facility:
         Definition of facility types
Facility Name: (Enter partial name or full name of facility)
  Leave blank to view a listing of all facilities in the county/city that you have selected.