930.7 Filing a Complaint

The client has the right to file a complaint to the DHS Privacy Officer about DHS policies, procedures, and practices concerning PHI. See Appendix A for a copy of the PA 1802 Form, Complaint.

The client may send the complaint to:

Privacy/Client Information Officer
Department of Human Services
Office of General Counsel
3rd Floor West
Health and Welfare Building
Harrisburg, PA 17120

The client may also file the complaint directly to:

The Department of Health and Human Services
Office of Civil Rights
150 South Independence Mall West, Suite 372
Philadelphia, Pennsylvania 19106-3499


The Secretary of Health and Human Services
200 Independence Avenue, SW
Washington, DC 20201

The complaint must be:

The CAO will:

The Privacy Officer will:

930.71 Client’s Right to Appeal

The client may appeal the decision of the privacy officer within 30 days of receiving the privacy officer’s decision. Appeals must be filed in writing to:

Department of Human Services
Bureau of Hearings and Appeals
2330 Vartan Way 2nd Floor
Harrisburg, PA 17110

Reissued July 15, 2006, replacing June 13, 2003; reviewed March 16, 2012