Complaint Forms

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

Medical Cannabis Consultant Forms

Nursing Professional Complaint Form

Physician and Physician Assistant Complaint Form