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Division of Quality Assurance (DQA) - Misconduct Report or Complaint about Care or Treatment, F-00607 (02/2023)

Welcome

Thank you for contacting the Wisconsin Department of Health Services - Office of Caregiver Quality.

Please use this form to report intentional abuse, neglect, or misappropriation by an employee or contractor of a Wisconsin treatment provider or facility, or to report a concern about care or treatment

NOTE: If you choose not to provide your contact information, please make sure to include detailed answers to each question. The effectiveness of our investigation and any related intervention could be substantially influenced by the quantity and quality of information you provide.