The Division of Licensing Services Office of Medical Licensing provides this Online Complaint Form which allows anyone with knowledge or concerns about a suspected violation to submit a complaint through this web page.  A complaint is a suspected violation of Arizona state rules and/or statutes governing the operations of licensed medical facilities or licensees.

Complaint Frequently Asked Questions (FAQs)

When filling out this form, information that is required is indicated by a red asterisk ( ).










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Complainant Source

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Submitting a complaint

Please provide the Arizona Department of Health Services with a phone number where you can be reached in case more information is needed.



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