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Fill in your name, mailing address, and phone number, with area code, where you can be reached during business office hours. In addition, please provide your fax number, email address and the name of the facility you are complaining about.  A nurse is available Monday through Friday from 8:00 am to 5:00 pm to contact you. Items marked with (*) are required fields.

*Name

*Mailing Address



Phone Number


Fax Phone Number

Best time to reach you Monday through Friday
between 8:00 a.m. and 5:00 p.m.  


E-Mail Address


*Name of the facility you are complaining about

  

Hotline: 1-800-633-6828

The Hotline is available 24 hours a day, 7 days a week.

 

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DOH Home | Access Washington | Privacy Notice | Disclaimer/Copyright Information

Washington State Department of Health
Facility Services Licensing
P.O. Box 47852
Olympia, WA 98504-7852
Phone: (360) 236-2905
Fax: (360) 236-2901 

Last Update : 06/21/2006 10:45 AM
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