For your convenience you may use this form providing dates and details about your complaint.
In Florida here :
Here: http://www.doh.state.fl.us/mqa/enforcem ... psyUCF.pdf
This form is easy to fill out and send. Its a starting point .
DIVISION OF MEDICAL QUALITY ASSURANCE
Enforcement Program
Health care practitioners are regulated by the Department of Health and the action which
may be taken is administrative in nature, e.g., reprimand, fine, restriction of practice,
remedial education, administrative cost, probation, license suspension or license
revocation. The Department cannot represent you in civil matters to recover fees paid or
seek remedies for injuries. You may wish to consult a private attorney regarding these
matters.
THIS IS THE SAME FOR ALL STATES:
HOW TO FILE A COMPLAINT/REPORT AGAINST A HEALTH CARE PRACTITIONER:
· To file a complaint/report, you must do so in a signed, written report. For your
convenience you may use this form providing dates and details about your complaint.
· Use a separate complaint form for each practitioner you wish to file a complaint against.
· Be specific and include copies of pertinent medical records, correspondence, contracts,
and any other documents that will help support your complaint.
This complaint can/be or include refusal to give you a copy of your records ! don't let that part stop you.
They are my records and I want them now !