To file a health complaint, please complete the form below.
NOTE: All complaints are public record! You must fill the form completely and print/sign your name. Forms that do not contain all information required will not be addressed.
Please send completed forms to email@example.com
101 E 2nd St • Rushville, IN 46173
Monday – Friday, 8:00 am – 4:00 pm
(Individual office hours may vary)