Patient’s Guide to HIPAA – Basic Rights: What Information Belongs in a Complaint?




You are reading the Patient’s Guide to HIPAA, FAQ 47

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FAQ 47: What Information Belongs in a Complaint?

The Office of Civil Rights at HHS wants a complaint to be signed and to include:

• Your name, full address, home and work telephone numbers, email address.

• If you are filing a complaint on someone’s behalf, provide the name of the person on whose behalf you are filing.

• Name, full address and phone of the person, agency or organization you believe violated your (or someone else’s) health information privacy rights or committed another violation of the Privacy Rule.

• Briefly describe what happened. How, why, and when do believe your (or someone else’s) health information privacy rights were violated, or the Privacy Rule otherwise was violated?

• Any other relevant information.

• Your name and the date of the complaint.

Optional information that OCR requests includes:

• Do you need special accommodations for us to communicate with you about this complaint?

• If HHS cannot reach you directly, is there someone else to contact?

• Have you filed your complaint somewhere else?


Roadmap: Patient’s Guide to HIPAA: Part 2: Basic Patient Rights: Right to Complain to the Secretary of HHS (FAQ 47 of 65)

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