Report an incident in a healthcare facility

Instructions and fax forms for reporting all incidents under the Patient Abuse Law. Generally, you must file facility reports using the Health Care Facility Reporting System (HCFRS).

Division of Health Care Facility Licensure and Certification

The Details   of Report an incident in a healthcare facility

How to report   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.

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.

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:

Fax form to (617) 753-8165.

Contact   for Report an incident in a healthcare facility

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