Center for Improvement in Healthcare Quality CIHQ Accredited Hospital Complaint/Concern Reporting Center


	Proudly Serving Healthcare Organizations Since 1999 CIHQ is a member-based organization comprised of hospitals and other healthcare entities throughout the United States.

CIHQ Accredited Hospital Complaint/Concern Reporting Center

Please Read the Following Information Carefully Important Your complaint WILL NOT be submitted and processed unless you follow the directions below. You are not contacting the hospital, you are contacting its accrediting organization - CIHQ. If you wish to discuss your concern with the hospital, please contact them directly. CIHQ does not investigate the following: Disputes about your bill. Please contact your insurance company or the hospital. Complaints regarding the medical care rendered by physicians or other licensed independent practitioners. Please contact your State’s medical board. Complaints regarding personal interactions with physicians or staff unless you feel that you have been abused. Complaints regarding care, treatment, or service rendered by an affiliate of the hospital that is not subject to our accreditation. Complaints that are not subject to the hospital’s accreditation standards. If you still wish to submit a complaint to CIHQ please complete the information below. Thank You Please Complete the Following Information Your personal information is confidential and will not be shared with the accredited organization without your consent.
Contact Information
* Your Name:
* Address:
* City:	* State: * Zip:
* Telephone:
* Email:
* Confirm Email:
* Are You the Patient:
* If Answered No Above, Relationship to the Patient:
Patient Information
* Name of Patient:
* Age of Patient:	* Gender:
Accredited Organization Information
*Hospital:
* Address:
* City:	* State: * Zip:
* Date of Incident:
* Approximate Time of Incident:	AM PM
Your IP Address:	34.204.168.209
* Location in Hospital (Care Unit) where Incident Occurred:
* Please describe the incident or nature of your complaint: (1500 Maximum Characters)

* Does CIHQ have permission to disclose your name/contact information when communicating with the hospital?
* Have you informed the hospital about your incident/concern?
* Do you wish to have CIHQ notify you of the results of our investigation?
*Required fields

Center for Improvement in Healthcare Quality (CIHQ)
P.O. Box 3620
McKinney, TX 75070
Phone: 866-324-5080 | Fax: 805-934-8588