If You Have a Concern
We take each patient concern within our group seriously. Below, please describe in detail the incident in question so that our Medical Compliance Officer can address it with the appropriate personnel and/or provider.
It is our goal to respond to a concern within 48 hours of receiving it.
Important note: This form is intended for Providence Medical Group, Dayton, Ohio medical practices only.
Providence Medical Group employees —
If you have a concern you’d like to address, you have the option of filling out the form below, or reporting it to the Human Resources department in person, or to Jamie Gibson at email@example.com.