Complaint Process |
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The Board's Authority:
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The complainant should be aware
of the Board's statutory authority, which is to regulate Physician Assistants (P.A.'s)
under the Arizona Medical Practice Act. The Board does not want to
discourage the filing of a valid complaint, however, as an administrative
agency, The Board's jurisdiction and authority are limited. Only
violations of this act fall under the Board's jurisdiction and may result
in disciplinary action against a medical doctor.
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Understanding the Process...
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The Adjudication Process
was developed to ensure thorough investigations, faster case resolution
timeframes and opportunity for all parties involved to provide information
to the Board. It is important, when either filing a complaint or
responding to a complaint, to make sure that all information about the
case is made available to a member of the staff of the Arizona Medical Board.
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Helpful hints when
preparing for your case...
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Most cases will go through the
first two stages of the process. After Stage 2, some cases will be
dismissed by the Executive Director and others will be forwarded to the
Review Committee and/or to the Full Board for final resolution. You
will be notified of the status of your case during each stage of the
process.
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Complaints Process - Instructions
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This complaint form
may only be used to file a complaint against a medical doctor (M.D.), doctor of osteopathy (D.O) or physician's assistant (P.A.)
If you wish to file a complaint against a health provider other than an
M.D., D.O. or P.A., please check here for a list of other licensing
agencies; find the type of health care provider you wish to file a complaint about; and,
contact the corresponding licensing agency.
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Complete the enclosed complaint
form, treatment information form and medical records release form.
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Provide the full name of the
medical doctor (M.D.), doctor of osteopathy (D.O) or physician assistant (P.A.) that you wish to file a complaint
against. You may name more than one doctor per complaint.
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Complete a detailed narrative
statement outlining your complaint in chronological order.
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Provide the names of all other
health care providers who have evaluated or treated the patient for the
same medical condition, either before or after the subject physician,
including physicians, hospitals and emergency rooms, urgent case centers
and radiology (x-ray) facilities. Please provide the dates of
treatment for each health care provider.
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Provide the full name, address
and daytime telephone number of any witnesses that can provide evidence to
support your complaint, as well as, a brief statement about what evidence
the witness is able to provide.
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Provide a copy of any supporting
documents you have in your possession pertaining to your specific
complaint, i.e., copies of medical records, explanation of Medicare
Benefits (EOMB) or other insurance payments, billings, correspondence,
etc. Please do not provide the Board with your original documents
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Download complaint forms Click here
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Please be advised,
the Board's complaint files and records are confidential investigative
materials, and by law, availability is restricted pursuant to Arizona
Revised Statutes (A.R.S.) §32-1451.01. Ensure you have all of your
complaint information available prior to the commencement of
completing your complaint. Complete and submit your complaint
in one session. Currently we do not support the on-line
capability to retrieve and edit a complaint once it has been
submitted.
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Arizona Regulatory Board Of Phisicain Assistants