EMS Complaint Form Submission Portal

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The New York State Department of Health Bureau of Emergency Medical Services reviews and investigates complaints against individuals and agencies within the EMS system, in accordance with Article 30 of NYS Public  Health Law and 10NYCRR Part 800. A complaint may be made against any New York State certified EMS agency, EMS provider, EMS course sponsor, instructor or entity conducting a public function in accordance with New York Sanitary Code Part 18.

Important note: The Bureau of Emergency Medical Services does not have jurisdiction over EMS billing practices and therefore does not investigate billing complaints.

To the extent possible, each complaint received will be kept confidential. However, in order to investigate your complaint appropriately, it may be necessary to contact you. Providing your personal information will allow Bureau of EMS staff to contact you if necessary. Additionally, it may be necessary for Bureau of EMS staff to speak with, or receive statements from, witnesses, medical staff, or other involved parties.

In order to process your complaint in a timely manner, please:

  • Type clearly

  • Complete form in its entirety, including your contact information Include any names, organizations, and phone numbers with whom you have already filed a complaint

  • Attach documents that support your concern

Contact Information

Disclaimer: Anonymous submissions will not have a follow-up and may not have enough information to support the complaint
Contact Information

Patient Information (Required for Patient Care Complaints)

Complaint Information

Was Law Enforcement Involved?
Have you filed a complaint with the EMS agency or provider? (Please attach any correspondences below)
Have you filed a complaint with anyone else?
Was your concern resolved?
Are other patients affected by your concern?
Name Phone
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Complaint