Report a Concern

At Michigan Medicine our goal is to provide the best health care experience possible. If we fall short of your expectations, we want to know about it.

You have the right to express any concerns you may have. Patient Relations is the destination for patients and families when the health care provided fails to meet expectations.

We want and need your feedback, comments, and questions so that we can improve for you and for future patients. After you speak with us, we will work to address your concerns or questions.

If you have questions/concerns about how and under what circumstances animals are used for research purposes, please visit: Use of Animals in Research and Education at the University of Michigan or email.


Form

Patient's name:

Patient's MRN (from Blue Card), if available:

Patient's date of birth

Your name and relationship to patient:

Date of Event:

Outpatient Location:

Inpatient Location:

Brief description of the event: If applicable, include the names of people involved

If you would like Patient Relations & Clinical Risk to contact you, please leave your number below.

  • Phone (provide number, including area code):
  • Cell phone (provide number, including area code):