Authorization Number : 14400469
Agency Series No. : 11-04
Status : Active
Agency Web Link :
Agency : DOH
Confidential Description : Includes medical information.
Division :
Vital Description : Only record of Investigation.
Section :
Record Title : Complaint Files
Revision : 0
Record Description : Includes, but not limited to, Complaint Intake Form (HEA 1681), Report of Investigation of Complaint (HEA 1602), ODH Complaint QA Form, and various correspondence and supporting documentation. May contain confidential complaint or patient information.