DOH Form 669-277 Complaint / Report Form - Washington

What Is DOH Form 669-277?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOH Form 669-277?
A: DOH Form 669-277 is a complaint/report form specific to Washington state.

Q: What is the purpose of DOH Form 669-277?
A: The purpose of DOH Form 669-277 is to report complaints or concerns about healthcare providers in Washington.

Q: What information is required on DOH Form 669-277?
A: DOH Form 669-277 requires information such as your contact details, the name of the healthcare provider involved, a detailed description of the complaint, and any supporting documents.

Q: What happens after I submit DOH Form 669-277?
A: After submitting DOH Form 669-277, the Washington State Department of Health will review the complaint and take appropriate action.

Q: Is my identity kept confidential when submitting DOH Form 669-277?
A: Yes, your identity is kept confidential when submitting DOH Form 669-277, unless required by law to disclose it.

Q: Can I make an anonymous complaint using DOH Form 669-277?
A: Yes, you can make an anonymous complaint using DOH Form 669-277.

Q: What types of issues can I report with DOH Form 669-277?
A: You can use DOH Form 669-277 to report issues such as medical errors, unethical conduct, or inadequate care by healthcare providers in Washington.

Q: Is there a time limit for submitting DOH Form 669-277?
A: There is no specific time limit for submitting DOH Form 669-277, but it is recommended to report concerns as soon as possible.