File a Non-Discrimination Complaint Form

Submit a non-discrimination complaint securely through MVP Health Care’s online intake form. Your privacy is protected, and you can print a copy for your records using your browser’s print function.

File a Non-Discrimination Complaint Form

Submit a non-discrimination complaint securely through MVP Health Care’s online intake form. Your privacy is protected, and you can print a copy for your records using your browser’s print function.

Please complete the form below and select submit to send your complaint. The information will be sent securely to protect your privacy. Use the web browser print function if you would like to print a copy of this form for your records.