Minnesota 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

Response Not Satisfactory? Then you may forward your complaint to the HSR via phone, 8am to 5pm Monday-Friday at (573) 751-6303, via email to complaint@health.mo.gov, or via fax or regular mail with a printed complaint form. Be certain to include all essential information: Your name and contact information.

If you are covered by a health carrier that is not an HMO, call the Minnesota Department of Commerce Consumer Response Team at 651- 539-1600 or 1-800-657-3602. Look on the back of your health card to see if these phone numbers are listed there.

Missouri's consumer protection statutes prohibit the act, use or employment by any person of any deception, fraud, false pretense, false promise, misrepresentation, unfair practice or the concealment, suppression, or omission of any material fact in connection with the sale or advertisement of any merchandise ( ...

How to File a Complaint Contact a Regional Ombudsman for the county the person is in. Use the Regional Map or the Regional Ombudsman by County list. Call the OMHDD: 651-757-1800 or 1-800-657-3506. Email the OMHDD:ombudsman.mhdd@state.mn.us. Fax the OMHDD: 651-797-1950. Send us a letter by US postal mail:

The Food and Feed Safety Division's Information Desk is available for questions or complaints on food and feed safety. Call 651-201-6222, Monday through Friday, from 8 a.m. to pm. After hours, you may call 651-201-6027, leave a message, and someone will return your call.

Self-reports may be submitted via e-mail to hospitalcomplaints@health.mo.gov, or by phone to the Complaint Hotline 24 hours a day at 1- (800) 392-0210.

To file a complaint against a licensed professional, such as a doctor, nurse, barber or massage therapist, contact the Missouri Division of Professional Registration.

You have the right to: Be treated with respect and dignity. Receive needed medical services. Privacy and confidentiality (including minors) subject to state and federal laws. Select your own Primary Care Provider (doctor)*

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Minnesota Complaint for Medical Malpractice regarding Diagnosis and Treatment