illustration of a problem checklist

Report a Care Concern

We’re committed to our patients and strive to put them first in all that we do. If we didn’t hit the mark with the care we gave you or a loved one, please let us know.

Fill out the form below and we’ll be in touch soon.


Report a care concern

Patient’s legal name
Patient’s date of birth
Name of person filing out form
Relationship to the patient
Phone number
Email address
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  • Allegheny General Hospital
  • Allegheny Valley Hospital
  • Bethel Park Health+Wellness Pavillion
  • Canonsburg Hospital
  • Erie East Side Health+Wellness Pavillion
  • Erie West Side Health+Wellness Pavillion
  • Forbes Hospital
  • Grove City Hospital
  • Jefferson Hospital
  • Peters Township Health+Wellness Pavillion
  • Saint Vincent Hospital
  • West Penn Hospital
  • Wexford Health+Wellness Pavillion
  • Physician Office (Please specify)
Physician office
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