Complaint and Report Form (Nurses)
Use this form if:
you need to file a complaint or report about a(n):
Registered Nurse (RN),
Licensed Practical Nurse (LPN),
Advanced Registered Nurse Practitioner (ARNP), or
you are a nurse who needs to self report
Looking for a different complaint form? See other options below:
See this form
to file a complaint about a nursing education program or a nursing assistant training program.
See this webpage
if you need to file a complaint about another profession.