Wisconsin Complaint for Medical Malpractice regarding Diagnosis and Treatment

State:
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

Wisconsin Medicaid (BadgerCare Plus) Complaints Information about DHS' complaint processes is available by calling their toll-free number, 1-800-362-3002.

STEP ONE ? Notify Your Health Plan Tell them you want to file a formal complaint and then explain the problem. You can also file your complaint by letter, email, or online through your health plan's website (see below). If you disagree with your health plan's decision, you have the right to file an appeal.

To submit a complaint to DATCP by mail, download a consumer complaint form in English or Spanish here or contact the Consumer Protection Hotline at (800) 422-7128 to request a form by mail.

File A Complaint Methods. Online Complaint Form. File your Complaint here. ... Process. The Division of Legal Services and Compliance (DLSC) provides compliance services for the agency's boards and direct-licensed professions. ... Alternatives. DISCUSS COMPLAINT WITH THE CREDENTIAL HOLDER OR HIS/HER SUPERVISOR.

To submit a complaint to DATCP by mail, download a consumer complaint form in English or Spanish here or contact the Consumer Protection Hotline at (800) 422-7128 to request a form by mail.

The Department of Safety and Professional Services (?DSPS?) oversees complaints about physicians on behalf of the State of Wisconsin Medical Examining Board. Anyone can submit a complaint about a physician to DSPS, and DSPS frequently contacts physicians requesting a response to a complaint.

If you would like to email, fax, or mail the form instead of submitting it online, please use the contact information below. If you have questions or problems, call us toll-free at 1-800-236-8517 (within Wisconsin) or 1-608-266-0103 (outside of Wisconsin) or send an e- mail to us at ocicomplaints@wisconsin.gov.

The Consumer Protection and Antitrust Unit at DOJ primarily litigates cases referred by other state agencies. If you have questions about a case or believe you may have information or a complaint related to a case handled by DOJ, please contact the Consumer Protection Hotline at 1-800-998-0700 or (608) 266-1852.

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Wisconsin Complaint for Medical Malpractice regarding Diagnosis and Treatment