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HIPAA PRIVACY COMPLAINTS

You can use this online form to file a HIPAA complaint about the privacy practices or privacy policies and procedures for any company or department. You may file this complaint anonymously, if you choose, but we will be unable to respond to your complaint without contact information.

If you prefer, you can download this PDF to submit your complaint.

    First Name
    Last Name
    Company
    Business Address
    Email
    Phone
    Company/Department
    Complaint