
Last updated: 2/6/2025
Health Care Complaint Form
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Description
HEALTH CARE COMPLAINT FORM. This form is used to file a health care-related complaint with the Pennsylvania Office of Attorney General’s Health Care Section (HCS). It allows consumers to report issues involving health care services, insurance disputes, billing problems, or other medical-related concerns. The form initiates a voluntary mediation process where the HCS attempts to resolve the complaint between the consumer and the business or provider. If mediation fails, the Attorney General’s Office may take legal action if the case warrants, though it does not act as a private attorney for individuals. The form also includes an authorization to release medical and insurance records, enabling HCS to investigate the complaint effectively. www.FormsWorkflow.com