How to Make a Complaint
If you believe we violated your medical information privacy rights, you have the right to file a complaint with our practice manager or directly to Secretary of Health and Human Services.
You can make a verbal or written complaint with our Privacy Officer.
Please download and fill out the form below.
Patient complaint and grievance policy / Patient complaint or grievance report
Reviewed September 23, 2013
Provide as much detail as you can about the suspected violation and send it to:
John Winter, Administrator
Sheboygan Surgery Center
3141 Saemann Avenue
Sheboygan, WI 53081