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How to File a Complaint or Request Records

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Health Care Facility Complaint

Health Facility Licensing & Certification (HFLC) is responsible for processing complaints for certain types of health care facilities and agencies.

To file this type of complaint:

  1. Download the Health Care Facility Complaint Intake Form (pdf).
  2. You may complete the form online and save or print it.
  3. Submit the completed form to our office by mail, e-mail or fax.

MAIL: Mark clearly on the envelope *CONFIDENTIAL* and send to:

Health Facility Licensing and Certification Program
800 NE Oregon Street, Suite 465
Portland, OR 97232

E-MAIL: mailbox.hclc@state.or.us

FAX: (971) 673-0556

If you have any questions regarding the Health Care Facility Complaint Intake Form, please contact our office at
(971) 673-0540.


EMS or Trauma Systems Provider Complaint

EMS and Trauma Systems are responsible for processing complaints against EMS providers and Trauma System designations.

If the entity is on the ambulance services list or the map of trauma system designations you may file a complaint using the instructions below.

To file this type of complaint:

  1. Download the EMS and Trauma Systems Complaint Intake Form (pdf).
  2. You may complete the form online and save or print it.
  3. Submit the form to our office by mail, e-mail or fax.

MAIL: Mark clearly on the envelope *CONFIDENTIAL* and send to:

Oregon Health Authority, EMS and Trauma Systems
Professional Standards Enforcement
PO Box 14450
Portland, OR 97293

E-MAIL: ems.psu@state.or.us

FAX: (971) 673-0555

If you have any questions regarding the EMS and Trauma Systems Complaint Intake Form, please contact our office at
(971) 673-0530.


Frequently Asked Questions about Complaints

1. What happens after I submit a complaint?

The information provided below will be carefully reviewed against the applicable Oregon Administrative Rules and/or Code of Federal Regulations for the specific facility or entity type the complaint is about.

This review will determine if there are potential violations of those requirements and if this is the office with jurisdiction to take further action. You will be notified in writing of the results of the review. The letter will inform you what action this office has authority to take, which may include an unannounced, onsite investigation. If it is determined that the concerns fall under the jurisdiction of another agency or organization the letter will provide you with that information

2. Is my personal and complaint information kept confidential?

Your identity as the complainant is maintained confidentially to the extent permitted by law. The complaint systems are designed to protect anonymity and in most circumstances this office is prohibited from releasing complainant information.


Requesting Records

Health Care Regulation and Quality Improvement (HCRQI) maintains a public record for each licensed, certified, or registered acute health care facility or agency.

To request records

  1. Download the Request Public Records form (pdf).
  2. You may complete the form online and save or print it.
  3. Submit the completed form to our office by mail, e-mail or fax.

MAIL: Send to:

Health Facility Licensing and Certification Program
800 NE Oregon Street, Suite 465
Portland, OR 97232

E-MAIL: mailbox.hclc@state.or.us

FAX: (971) 673-0556

Special Note: If you are requesting a copy of a report following a survey or complaint investigation, the records may be delayed. These reports are called Statements of Deficiencies and the facility or agency must file a Plan of Correction describing how any deficiencies will be remedied. A Plan of Correction must be approved by the agency before the Statement of Deficiencies may be released.   

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