Alaska Complaint for Medical Malpractice regarding Diagnosis and Treatment

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Multi-State
Control #:
US-CMP-10041
Format:
Word; 
Rich Text
Instant download

Description

This is a model Complaint for damages caused by the negligence of a medical provider whose staff physician negligently failed to diagnose a common medical condition, resulting in severe mental and physical pain and unnecessary medical treatment, tests and associated expense over a period of months. The problem was later properly diagnosed and treated by a second provider. Damages are sought from the first provider. Adapt to fit the circumstances of your case. Care must be used to comply with the law and court rules for your state, because this is a model form.
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FAQ

You may submit the Medical Board Mandated Reporting Form by one of the following methods: Email the form (attach any required documents) to medicalboard@alaska.gov. Mail the form (attach any required documents) to State Medical Board, PO Box 110806, Juneau, AK 99801-0806.

Central Complaint Unit (CCU) Complaint Unit Analyst reviews the complaint to determine: If immediate investigation is needed. If yes, refer complaint to Investigation. If more information is needed, the Complaint Unit Analyst requests this from the complainant.

How can I report a complaint regarding a physician, physician assistant or acupuncturist? Call the Texas Medical Board at 800-201-9353 or file a complaint online .

Physician conduct/unprofessional conduct complaints are complaints that allege concerns about breach of confidence, record alteration, filing fraudulent insurance claims, misleading advertising, failure to sign death certificates in a timely manner, failure to provide medical records to a patient, patient abandonment, ...

The types of complaints the Board handles include: Substandard care (misdiagnosis, negligent treatment, delay in treatment, etc.) Prescribing issues (violation of drug laws, excessive/under prescribing) Sexual misconduct, impairment (drug, alcohol, mental, physical)

The Medical Board of California (Board) has the primary responsibility of licensing and regulating physicians and surgeons and certain allied health care professionals.

How to File a Complaint with the Medical Board Call to have a Complaint Form mailed to you either through the toll-free line (1-800-633-2322) or by calling (916) 263-2424, OR. Use the On-line Complaint Form, OR. Download and Print a Complaint Form.

In Alaska, medical malpractice occurs when a healthcare provider deviates from the standard of care and causes harm to a patient. You may be entitled to compensation if you or a loved one has suffered injuries due to medical malpractice.

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Alaska Complaint for Medical Malpractice regarding Diagnosis and Treatment