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Click ‘Get Form’ to open the Illinois Department of Public Health Complaint form in the editor.
Begin by filling in the 'Date of Occurrence' and the 'Facility' details, including the address, city, state, and ZIP code. This information is crucial for identifying where the incident took place.
Provide your contact information as a complainant. Include your name (or remain anonymous), address, city, state, ZIP code, and daytime telephone number. If you wish to receive updates on your complaint, ensure this section is completed.
If applicable, enter details about the patient or resident involved. Fill in their name, date of birth, sex, and status (discharged or still in facility).
Identify any witnesses by adding their names in the designated field. This can help substantiate your complaint.
In the description section, clearly outline what occurred during the incident. Stick to factual information regarding dates, names, places, times, and any physical harm incurred.
Finally, review all entered information for accuracy before submitting your complaint through our platform.

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How to file a complaint with the Illinois Department of Health?

Ways to File a Complaint Complaints can be filed by phone, mail, e-mail, or fax. Central Complaint Registry Hotline - 800-252-4343. Complaints can be submitted online by visiting the OHCR Portal and selecting File a Complaint. Health Care Facilities Complaint Form. Health Care Facilities Complaint Form.

How does DOH handle complaints?

If the complaint is deemed legally sufficient, the DOH will notify you in writing and provide details of the allegations. This notification may also include a request for a written response.

What does the Illinois Department of Public Health do?

IDPH assures the quality of our food, sets standards for hospitals and nursing homes, investigates disease outbreaks, maintains the states vital records, screens newborns, and many other programs.

What does the Illinois Department of Professional Regulation do?

The Division of Professional Regulation licenses and regulates over 1 million professionals and firms in Illinois including a variety of healthcare related professions such as doctors, nurses, and veterinarian, as well as a variety of occupational professions such as CPAs, barbers, engineers, and detectives.

What happens when you file a complaint against a doctor?

What Happens After I File a Medical Malpractice Complaint? The states licensing board is a team of doctors who investigate complaints against physicians licensed in the state and may issue disciplinary measures against the doctor, such as a fine or a suspension of their medical license.

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