Treatment FAQ

where do i go to file a formal complaint against a doctor for refusing treatment

by Mr. Jaquan Block II Published 2 years ago Updated 2 years ago

To file a complaint about your doctor (like unprofessional conduct, incompetent practice, or licensing questions), contact your State medical board.

Full Answer

What to do when a doctor refuses to treat you?

If you need urgent medical attention, and a doctor refuses to treat you, you can pursue a medical malpractice suit against the physician and/or the establishment they work for. This is especially true for doctors in hospitals and emergency rooms.

How do you report a doctor to the medical board in California?

Central Complaint UnitToll-Free: 1-800-633-2322.Phone: (916) 263-2382.Fax: (916) 263-2435.Email: [email protected].

How do I report a doctor's office in Texas?

Submit your complaint electronically via the Online Complaint Form, or print a PDF version COMPLAINT FORM (SPANISH COMPLAINT FORM ) and mail it in, or call the Complaint Hotline 1-800-201-9353 and follow the automated prompts to request a complaint form.

Who regulates doctors in Texas?

Texas Medical BoardTexas Medical Board. The Texas Medical Board is the state agency charged with keeping Texas patients safe through the licensure and regulation of Texas physicians.

What are some examples of conduct deemed unprofessional for physicians?

Laws vary from state to state, but examples of unprofessional conduct include: Physical abuse of a patient. Inadequate record keeping. Failure recognize or act on common symptoms.

How do I file a complaint with the California health department?

Call the DOI to determine which agency handles your health plan: (800) 927-4357. File a complaint with the DMHC and submit an Independent Medical Review application here or call the DMHC helpline: (888) 466-2219.

How do you put a complaint in about a doctor?

If you wish to complain about your GP, dentist, opticians or pharmacy service you can do so by contacting NHS England by email NHS England at [email protected] and more information can be found on their website.

How do I file a complaint against Texas health and Human Services?

Submitting a Complaint Against Healthcare Facilities (Except Substance Abuse (Chemical Dependency) Treatment or Narcotic or Opioid Treatment Facilities)Complaint hotline: 1-800-458-9858 Option 5.Email: [email protected]: 833-709-5735.Mailing address: Health and Human Services Commission.

How do I complain about medical negligence?

The first option is often to use the complaints procedure of the hospital or general practice surgery where you were treated. Alternatively, you can contact the Health Service Ombudsman or the regulatory body of the professional involved.

How do I find out if a doctor has complaints in Texas?

Complaints and investigational information received and maintained are not public information, by state law. Any resulting disciplinary orders are public and can be viewed on the physician's profile. Formal complaints filed by the Board at the State Office of Administrative Hearings are public documents.

What is the Texas Medical Practice Act?

1974). The Texas response to this issue was the passage of the Texas Medical Practice Act — a statutory prohibition on the use of a physician's license to aid an unlicensed person in practicing medicine or the allowance of another to use a physician's license to practice medicine.

What does filing a complaint with the attorney general do?

Complaints are used by the Attorney General's Office to learn about misconduct and to determine whether to investigate a company. However, the Attorney General's Office cannot provide legal advice or assistance to individuals.

What is an improper care complaint?

Improper care or unsafe conditions. You may have a complaint about improper care (like claims of abuse to a nursing home resident) or unsafe conditions (like water damage or fire safety concerns).

How to file an appeal with Medicare?

For questions about a specific service you got, look at your Medicare Summary Notice (MSN) or log into your secure Medicare account . You can file an appeal if you disagree with a coverage or payment decision made by one of these: 1 Medicare 2 Your Medicare health plan 3 Your Medicare drug plan

Where to file a medical malpractice lawsuit?

Typically, a patient will file the lawsuit in the county where the doctor practices, or where the hospital is located.

Why is it important to file a medical malpractice complaint?

If you are a victim of a medical mistake, it is important that you file a complaint –not only can this serve as a piece of evidence should you pursue a medical malpractice lawsuit , but filing a complaint can also help you to protect others from a similar error or from an unfit doctor. Knowing how to reduce your risk of being a victim ...

What is medication error?

Medication errors – Prescribing the wrong medication or the wrong dosage of medication, failing to guide a patient on how to properly use a medication or potential side effects, and administration errors all warrant the filing of a medical complaint. Diagnosis errors – While doctors make mistakes, failing to properly diagnose a serious condition, ...

What is an improper treatment?

Improper treatment – When a patient is suffering from a certain medical condition, the patient may require medication, therapy, surgery or other interventions. Failing to prescribe the right treatment or surgery, or implementing a treatment or surgery unnecessarily, warrants a complaint.

What is a diagnosis error?

Diagnosis errors – While doctors make mistakes, failing to properly diagnose a serious condition, either as a result of a misdiagnosis or a delayed diagnosis, can have tragic effects for an affected patient and may be unacceptable.

What is the reasonable expectation of a doctor?

When you visit your doctor or go to the hospital, you have a reasonable expectation that your doctor will treat you with a high degree of care. Unfortunately, doctors are often overworked, have little time to devote to personalized patient care and make mistakes that constitute medical malpractice.

How to reduce the risk of medical errors?

Take a trusted friend or family member with you – Another way to reduce your risk of becoming a victim of a medical error is to take a trusted friend or family member with you to any doctor appointment that you have . A friend may be able to ask questions that you would not think to ask yourself.

Does this rise to the level of malpractice?

All medical errors should be reported to California’s state medical complaint board. They may or may not act upon the complaint depending upon the professional record of the doctor or hospital in question or whether the board has received similar complaints in the past.

Speaking to an attorney

If you feel that your doctor or hospital has erred due to negligence and if you have suffered harm as a direct result of that negligence, not only should you file a complaint, but you should contact an experienced medical malpractice attorney who will be able to review your case to determine whether it is valid or not.

What to do when your doctor is to blame?

When your doctor is to blame for something wrong that happened to you, there are avenues you can take to file a complaint. As you begin this process, it is important that you figure out who to speak with and how to do it.

How to write a complaint letter?

Keep your letter concise. The content should be no more than a few paragraphs, written in short sentences on a single page. Be specific about your complaints. If possible, use a bulleted list to punctuate your points. Remain objective.

What happens if you ask for a refund?

If you ask for a refund, you are likely to receive it . Leave the legalities to the authorities.

What to do if your insurance company denies you a bill?

2  If your appeal is denied, your doctor may have a patient advocate that can help you free of charge.

What to do if your doctor is sexually abusive?

If your doctor was sexually inappropriate or abusive in any way, you should contact the state medical board and file a police report. 4 .

What to do if you notice an error in your medical record?

If you noticed an error in your medical record, but your medical care has been good, you should bring it up to the doctor and office staff. They are highly likely to correct it to your satisfaction. How to Correct Errors in Your Medical Records.

Does Verywell Health use peer reviewed sources?

Article Sources. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. U.S. Department of Health and Human Services.

Is the Medical Board's investigative file confidential?

The Board's investigative files are confidential. However, doctors and other allied health care professionals within the jurisdiction of the Medical Board are disciplined through an administrative law procedure. At some point in this procedure a hearing may be required.

Can you add additional sheets to a medical practice?

You may add as many additional sheets as necessary to detail your circumstances. Please explain to us, if possible, why you believe the treatment you received was either a violation of the Medical Practice Act, considered by you to be unprofessional conduct, or the treatment you received was below standards.

Can you file a complaint against a medical practice board?

If you believe a provider licensed by this Board has violated provisions of the Medical Practice Act, has acted in a manner that is considered "unprofessional conduct", or has provided a level of care that would fall below the minimum standard of care, then you may have the basis for a complaint. You may now file complaints online or by mail.

Can you file a complaint with the medical board?

No, there is no statutory limit as to when you may file a complaint with the Medical Board. However, as time progresses, it may be more difficult for our investigative staff to gather information to support the complaint.

How to complain about poor care in a hospital?

How can I complain about poor medical care I received in a hospital? While you are in the hospital: If possible, first bring your complaints to your doctor and nurses. Be as specific as you can and ask how your complaint can be resolved. You can also ask to speak to a hospital social worker who can help solve problems and identify resources.

What do you do if you get an infection in the hospital?

If you get an infection while you are in the hospital or have problems getting the right medication, you can file a complaint with the Joint Commission . This group certifies many U.S. hospitals' safety and security practices and looks into complaints about patients' rights. It does not oversee medical care or how the hospital may bill you.

What do social workers do when patients leave the hospital?

Social workers also organize services and paperwork when patients leave the hospital. If you are covered by Medicare, you can file a complaint about your care with your State's Quality Improvement Organization (QIO) . These groups act on behalf of Medicare to address complaints about care provided to people covered by Medicare.

How long does it take to appeal a hospital discharge?

You should get a form from the hospital titled "An Important Message from Medicare," which explains how to appeal a hospital discharge decision. Appeals are free and generally resolved in 2 to 3 days. The hospital cannot discharge you until the appeal is completed.

Can you appeal a discharge plan?

The discharge planner will take your concerns to the doctor who makes this decision. If you are covered by Medicare or by a Medicare managed care plan, you can file an appeal about a discharge while you are still in the hospital.

Can a hospital discharge you until appeal is completed?

The hospital cannot discharge you until the appeal is completed. When you get your hospital bill: First, ask your doctor or the hospital's billing department to explain the charges. Find out how the hospital handles complaints about bills, and make your case. If you still have questions, you should contact the Medicare carrier ...

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What to do before filing a complaint with insurance?

Before filing a complaint in regards to billing, ensure that your insurance was filed correctly with correct diagnosis code. Ensure that coverage is reviewed to make certain that deductibles have been met and the service was a covered benefit.

What is a patient advocate?

A patient advocate may be able to guide you or even file the complaint on your behalf. Many hospitals have patient advocates on staff. If you talk to a patient advocate who is employed by the hospital about which you would like to complain, ask them whether their assistance will be confidential.

What to do if you don't have a computer?

If you do not have a computer, search the phonebook for the numbers of your state’s Department of Public Health. Many have departments that deal with licensing and regulations. If they do not accept complaints, they will be able to direct you where to go next.

What to do when you have thoughts about what you feel would be appropriate?

If you have thoughts about what you feel would be appropriate, make your opinions known in your complaint. The review board will do what they feel is necessary to protect the public’s health and safety, but, depending upon the severity of the incident, they may take your thoughts into consideration.

Can Medicare file a complaint?

You need to complaint to the appropriate authority so that they can conduct an investigation. If you complain to the wrong organization, they won’t be able to address it.

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