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How to report a nursing home in georgia Form: What You Should Know

The on-line form can be completed on any computer or tablet with internet access and may be printed either on letter size paper or typed on an electronic device — no special software is required. . You may need to log in with your credentials to your user account. For more information, see the link under How To Submit Complaints. . A copy of your registration and/or license must accompany this form. . An on-line computer version of the form (free of charge) is available at . You can also print this form and fill it out by hand. . If your complaint does not relate to abuse in a nursing home, you may submit the form or a copy, in the same form, at all other times. There is a fee for making a report. . Please use your best judgment when completing this form. For instance, if you believe abuse has occurred at a facility that has limited or no on-site 24-hour care and staff for you to seek care from, please use an on-site or 24-hour substitute. . The Office of the Secretary of State is not responsible for any typographical, clerical, or technical errors resulting from errors in the instructions for completing this form. How To Submit A Complaint  Facility and Unlicensed Individual / Facility | Georgia Department of Community Health ­— Telephone, —  On-line. Enter full details about the facility, the specific behavior you report as being abusive or abusive, and the date of the incident. . Call your local telephone provider or report a problem using or . . Your complaint should include the following details: . The date of the incident. Frequently Asked Questions (FAQs) | Georgia Department of Community Health Who can I contact for additional information about this law? | DLH The Office of the Secretary of State in Georgia is responsible for the implementation of this law through its Licensing, Certification, and Education (LACE) Division and through its on-line form system, which was designed to comply with existing state regulation, and the issuance of administrative orders.

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