File A Complaint ⋆ Mega Nursing Services

Online Complaint Form

We are sorry that you are unhappy with services provided!
You can use this page to inform us of any issues or problems that you may have with your worker or our company. We will do our best to resolve your concerns as soon as possible. If you feel that this is something that needs to be addressed on a higher level, we have included the link for the Agency for Healthcare Administrations online complaint unit at the bottom of this page. We will work hard to resolve your concerns in a timely fashion.
Client Name*
First Last
Name of client receiving services
Your Name*
First Last
Person Filing Complaint
Email Address*

Where we can respond quickly and efficiently
Worker Name:*
Date(s) concerns or allegations took place:*
(Estimate if you're unsure)
Detailed Complaint*
Enter detailed information concerning your complaint
What would best resolve this complaint?*
Detail how you would like us to resolve this complaint
Attached Documents
Drop files here or

Accepted file types: pdf.
Attach documents you would like us to consider in this compaint. They must be in PDF format
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AHCA Complaint Administration Unit

Toll Free: (888) 419-3456 Florida Relay Service (TDD): (800) 955-8771

Email: CAU@ahca.myflorida.com

* *Use either the toll free number or the online form to submit a complaint and/or facility concerns.

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