File a Complaint

At UMC Health System, caring for our patients, their families, and their loved ones is why we come to work each day, and the reason Service is Our Passion. If we have failed to provide the very best care, we want to know. Please take the time to fill out this form so that we can address any issues you may have had during your or your loved one’s stay. UMC appreciates your comments and feedback. Thank you!

Submit Comments or Feedback

MM slash DD slash YYYY

Your Information

Note: Providing contact information allows UMC Health System to contact you about actions taken in regard to your complaint, or allows us to contact you if more information about your complaint is needed.
Address

Complaint Information

Date(s) of hospital care related to complaint*
MM slash DD slash YYYY
MM slash DD slash YYYY
Who are you filing complaint on behalf of(Required)

Please give us information on this person
MM slash DD slash YYYY
Desired Outcome(Required)

Description

Supporting Documentation

Upload supporting documentation below, if applicable.
Max. file size: 10 MB.


Back to top of page.