File a Complaint

Complaint Forms

Licensed Health Care Facility Complaints
- Licensed Health Care Facility Complaint Form

Complaint Form for Unlicensed Health Care Facilities
- Unlicensed Health Care Facilities Complaint Form

Office of Medicaid Program Integrity - Medicaid Fraud and Abuse Complaint Form
- Medicaid Fraud and Abuse Complaint Form

Statewide Medicaid Managed Care - Florida Medicaid Complaint Form
- Florida Medicaid Complaint Form

Office of Inspector General Complaint Form
- Office of Inspector General Complaint Form

Civil Rights Compliance - Discrimination Complaint Form
- Discrimination Complaint Form [ 131.1 kB ]

Agency for Health Care Administration Feedback Form
- AHCA Feedback Form

Florida Department of Health Practitioner Complaint Form
- Health Care Provider Complaint Form[ ]