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This version of the form is not currently in use and is provided for reference only. Download this version of
ODH Form 457A
for the current year.
ODH Form 457A Consumer Health Service Complaint Form - Oklahoma
What Is OSDH Form 457A?
This is a legal form that was released by the Oklahoma State Department of Health - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 457A?
A: Form 457A is the Consumer Health Service Complaint Form in Oklahoma.
Q: Who can use Form 457A?
A: Any consumer in Oklahoma who wants to file a complaint about a health service provider can use Form 457A.
Q: What kind of complaints can be filed using Form 457A?
A: Form 457A can be used to file complaints about issues related to health services, such as quality of care, billing disputes, unprofessional conduct, and more.
Q: How do I fill out Form 457A?
A: Form 457A must be filled out completely and accurately, providing details of the complaint and any supporting documentation.
Q: What happens after I submit Form 457A?
A: After submitting Form 457A, the complaint will be reviewed by the Consumer Health Service at OSDH. They will investigate the complaint and take appropriate action if necessary.
Q: Is there a deadline for filing a complaint using Form 457A?
A: There is no specific deadline for filing a complaint using Form 457A, but it is recommended to file as soon as possible after the incident occurs.
Q: Can I file an anonymous complaint using Form 457A?
A: Yes, you can choose to file an anonymous complaint using Form 457A. However, providing your contact information may help with the investigation process.
Q: Is there a fee for submitting Form 457A?
A: No, there is no fee for filing a complaint using Form 457A. It is a free service provided by the Oklahoma State Department of Health.
Form Details:
- Released on December 17, 2015;
- The latest edition provided by the Oklahoma State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of OSDH Form 457A by clicking the link below or browse more documents and templates provided by the Oklahoma State Department of Health.
