Report an incident in a healthcare facility

Licensed facilities must notify DPH immediately by phone in the event of:

• Death that is unanticipated, not related to the natural course of illness or condition, or that is the result of an error or other incident
• Full or partial evacuation due to fire, flood, utility failure, or other disaster
• Code Black (hospitals only)

During business hours, call the main intake number (617) 753-8150.

After business hours, call (617) 363-0755 or (617) 469-1111.

Licensed facilities must notify DPH immediately by phone in the event of:

• Death that is unanticipated, not related to the natural course of illness or condition, or that is the result of an error or other incident
• Full or partial evacuation due to fire, flood, utility failure, or other disaster
• Code Black (hospitals only)

During business hours, call the main intake number (617) 753-8150.

After business hours, call (617) 363-0755 or (617) 469-1111.

Fax Forms

A facility that is filing a report regarding an incident that occurred in another facility must submit that report by fax, using the appropriate form below:

• Home Health, Hospice and Homemaker Agencies (RTF)
• Updated Hospital Fax Form and Directions (DOC)
• Nursing Homes and Rest Homes (RTF)

Fax form to (617) 753-8165.