Department of Public Health - Petition Form


Details & Requirements

This form is used to file a complaint regarding the care provided at a Connecticut Healthcare Facility.


Customer Reviews

Customer Reviews

Details & Requirements

This form is used to file a complaint regarding the care provided at a Connecticut Healthcare Facility.

Signer Resources

  • Cost: $25 + $10 per added notary seal

  • Avg Notarization Time: Eight minutes

  • Cost: $25 + $10 per added notary seal

  • Avg Notarization Time: Eight minutes