What information is needed to file a complaint?
Please provide the identity of the nurse involved, including the correct spelling of the name, and the nursing license number or social security number, if known, to assist us in the event the name is common, as well as a detailed summary of each alleged violation of the NPA, including dates of each alleged incident and the medical record number of the patient involved. Supplying the medical record number is not a violation of confidentiality. If the incident involves a medication, include the name of the medication. Be as specific as possible in describing the events, and include a list of any witnesses with first-hand observations and knowledge of the incident(s).
