- This page, Report an incident in a healthcare facility, is offered by
- Division of Health Care Facility Licensure and Certification
- Bureau of Health Care Safety and Quality
- Department of Public Health
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).
Contact for Report an incident in a healthcare facility
Division of Health Care Facility Licensure and Certification
Phone
Main intake number
Call Division of Health Care Facility Licensure and Certification, Main intake number at (617) 753-8150
During business hours.
After business hours.
After business hours.
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 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.
Contact for Report an incident in a healthcare facility
Address
Phone
Main intake number
Call Division of Health Care Facility Licensure and Certification, Main intake number at (617) 753-8150
During business hours.
After business hours.
After business hours.
Online
Fax
(617) 753-8165