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Patient Abuse
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Combating Patient Abuse and Rights Violations
Dedicated to Assisting Consumers at the Oregon State Hospital
COMPLAINTS AND CONCERNS
LICENSEE COMPLAINTS
NOTE: If you desire to file a complaint against a licensee/provider then you may use the
following email addresses to file that complaint. When filing a complaint remember to be
specific but concise. Include who was involved, what occurred, when it occurred, where it
occurred, why it occurred, and how it occurred. List all witnesses, including their contact
information. Always keep a copy of the complaint and follow-up with the complaint if you do
not receive a response within 7 days.

To email your complaint to the Oregon Board of Nursing regarding a CASE MONITOR,
MEDICATION AIDE, NURSE, CERTIFIED NURSING ASSISTANT (CNA), or CERTIFIED MEDICATION
AIDE (CMA) click here.

To email the Oregon Board of Medical Examiners regarding a PSYCHIATRIST click here.
To email the Oregon Board of Clinical Social Workers regarding a SOCIAL WORKER click here.
To email the Oregon Board of Psychologist Examiners regarding a PSYCHOLOGIST click here.

SPECIFIC LICENSEE INFORMATION AND STATUS
NOTE: Use the below links to check the status, license number, date issued, date expires and
whether it is active or not. You may also determine if the licensee/provider has any disciplinary
action.
Case Monitor, Nurse, CNA, CMA licensing information click here
Psychologist and Psychologist Intern information click here
Physician including Psychiatrist information click here

OREGON REGULATORY BOARDS HOME PAGES
Oregon Board of Nursing http://www.osbn.state.or.us/
Oregon Board of Medical Examiners http://www.bme.state.or.us/welcome.html
Oregon Board of Psychologist Examiners http://www.obpe.state.or.us/
Oregon Board of Clinical Social Workers http://bcsw.state.or.us/consumer.htm

BUILDING CODE and STRUCTURE COMPLAINTS
DHS Health Care Licensure and Certification
Oregon State Fire Marshall
Joint Commission on Accreditation of Healthcare Organizations

JCAHO PERFORMANCE REPORT
Oregon State Hospital Performance Results (inspection)

HUMAN SERVICES CONTACTS
Director, Depart. of Human Services 503-945-5944
Donna Weaver, Asst. to Director, Depart. of Human Services 503-945-6956
Jim Neely, Deputy Director, Depart. of Human Services 503-945-5944
Barry S. Kast, Asst. Director, Health Services 503-947-1175
Bob Nikkel, Director, Mental Health and Addiction Services 503-945-9704
Eva Kutas, Director, Office of Investigations and Training 866-406-4287
Jim McCloud, Manager, MHAS Quality Assurance 877-278-6766

OREGON STATE HOSPITAL CONTACTS
Marvin D. Fickle, M.D., Superintendent, Oregon State Hospital 503-945-2850
David Freed, Ph.D., Chief of Psychology, OSH 503-945-2856
Don Abel, Chief of Security, OSH 503-945-2808
George Bachik, MSW, Social Work Director, OSH 503-945-2860
Vern Eggiman, RN, Nursing Director, OSH 503-945-2858
Deborah Howard, Assoc. Director of Family and Consumer 503-945-7132
John Keogh, MS, Forensic Evaluation Treatment Serv. Director 503-945-9271

ADVOCACY and PATIENT RIGHTS ORGANIZATIONS
Oregon Advocacy Center web or email 1(800) 452-1694
Governors Advocacy Ombudsman 1(800) 442-5238
Citizens Commission on Human Rights web or email 1(800) 869-2247

HOW TO WRITE AN EFFECTIVE COMPLAINT
Be clear and concise in your complaint.
State facts and clear conclusions. Do not ramble on. Only include pertinent information.
If you can, briefly state the law or ethics violation that the licensee has violated.
If you have any evidence or documentation, make a copy and attach it to the complaint.
If you need help with filing the complaint, you may call the licensing board and they will be
willing to assist you. Remember, the board is on your side. Understand that sometimes the
licensing board may disagree with your complaint. Do not be discouraged.
If you need any further assistance, you can always email P.R.A.C.

SAMPLE COMPLAINTS AND BLANK FORMS (Links to the following forms will soon be available!)
Nursing Complaint Form
Case Monitor or CNA or CMA Complaint Form
Physician Complaint Form
Social Worker Complaint Form
Psychologist Complaint Form
Generic (all purpose) Complaint Form
SAMPLE Complaint Form
COMPLAINT RESOURCES