Complaint Forms

On July 1, 2026, regulatory authority for certified nursing assistants and registered nursing assistants will move to the Washington State Board of Nursing (WABON). This will include applications, complaints, and discipline. See WABON news release for more information.

The Department of Health accepts complaints about providers and facilities and providers practicing without a license. 

If you're filing a complaint about a provider, please include: 

  • Your specific complaint with as much detail as possible 
  • Full name of the individual provider   
  • Provider’s business address

If you're filing a complaint about a facility include:

  • Your specific complaint with as much detail as possible
  • Facility name
  • Facility address

We do not credential the following types of facilities and cannot process complaints related to: 

  • Facilities regulated by DSHS (nursing homes, assisted living facilities, and adult family homes) 
  • Schools 
  • Clinics or doctor offices 

To file a complaint, find the complaint forms below. To request a document in an alternate format, call 1-800-525-0127 or complete our online feedback form. Deaf or hard of hearing customers, call 711 (Washington Relay).

Call us at 360-236-2620 to request the complaint form in a language not listed below. Additionally you may email us a complaint on a health care provider (hsqacomplaintintake@doh.wa.gov) or mail us a complaint form at:

Washington State Department of Health
Health Systems Quality Assurance
P.O. 47857
Olympia, WA  98504-7857

Facility, Nursing Pools, and Health Care Professional Forms

Nursing Professional Complaint Form

Physician and Physician Assistant Complaint Form