Public Health Investigations
Department of Health and Human Services
Division of Public Health
Investigations - Healthcare Professionals and Occupations

Public

Individual and Business Complaint Form

Health Professionals

Reporting Another Licensed Health Professional

Self-Reporting

Licensed Health Professional Self-Reporting

Facilities

Reporting a Licensed Health Professional

Insurers

Reporting a Licensed Health Professional

Supplemental/NPDB

Insurers/Entities Reporting a Licensed Health Professional

Printable Forms


Public Complaint Form for an Individual
Public Complaint Form for a Business
Mandatory Licensed Health Professional Reporting Another Licensed Health Professional
Mandatory Licensed Health Professional Self-Reporting
Mandatory Report from a Licensed Facility/Organization Reporting a Licensed Health Professional
Mandatory Report of Insurers Reporting Licensed Health Professionals
Supplemental by a Licensed Facility/Organization
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