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Patient Relations Form

If you have a compliment or concern about the quality of patient care provided at one of our hospitals or clinics, please tell us. You may contact a patient relations representative at (262) 928-4784 or complete and submit the form below. A patient relations representative will respond within two to three business days.

Patient Relations will clarify the time frames necessary to investigate. You will receive a phone call and or a written response with the actions taken.

Complaints regarding quality of care or premature discharge will be reviewed by the responsible leaders on a timely basis. If your concern cannot be resolved through ProHealth Care's complaint process, you may contact The Joint Commission through their website or e-mail complaint@jointcommission.org.

You also may file patient care concerns with:

Wisconsin Department of Health Services
Division of Quality Assurance
PO Box 2969
Madison, WI 53701-2060
Phone: 800-642-6552

Office of Medicare Beneficiary Ombudsman
7500 Security Boulevard
Baltimore, MD 21244
1-877-486-2048 (TTY)

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