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  • Me Reportable Events 2012

Get Me Reportable Events 2012-2025

E/Exploitation Exploitation (Non-Sexual) Rights Violation Serious Injury to Consumer Suicidal Acts, Attempts, Threats Death Restraint Medication Error Dangerous Situations – Other (As listed on the following page) IDENTIFYING INFORMATION Client First Name Client Last Name Gender M/F Date of Birth: Event Start Date Event Start Time Event End Date Social Security Number Event End Time REPORTABLE EVENT INFORMATION Short Description of Event: Short Description of Actions Taken: Was Wor.

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(800) 436-2131 – toll free in Maine.

A complaint may be initiated by calling, writing, or visiting the Commission's office. An Electronic Intake Questionnaire Form may be completed, and submitted online. Alternative formats are made available. An Intake Officer will assist you with drafting a complaint once your form has been reviewed.

Toll-free: 1-866-868-2289. TTY: 1-866-868-2289. Fax for appeals: 1-855-236-2423.

There are several ways that you can file a complaint with DHHS: Call this toll-free number: 800-383-2441 M-F 8:00-5:00. After 5:00 p.m., leave a voice message. Emergency Number: 800-624-8404 Available 24 hours/7 days a week. Send an e-mail to: dlrs.complaint@maine.gov. You can mail your complaint to:

What is a reportable event, and how is it reported? A reportable event is any event that the IRB may determine is an unanticipated problem involving risks to subjects or others or serious or continuing noncompliance with the federal regulations or Institutional Review Board requirements.

All nursing homes are required to post the phone number for their local ombudsman program. You can call the Maine Long-Term Care Ombudsman Program at 800-499-0229 or 207-621-1079.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232