Reporting a Civil Liberties Violation
To report a civil liberties violation to WRNMMC, please mail or e-mail your complaint letter to us. Complaints are not accepted via phone.
Mailing Address
ATTN: Privacy Compliance Office
Building 1, Level 2, Room 2437
8901 Rockville Pike
Bethesda, MD 20889-5600
E-Mail Address
dha.bethesda.ncr-medical.mbx.wrnm-hipaa-mail@health.mil
*Please be sure to encrypt your e-mail.
Necessary Information
Please include ALL of the following information in your letter. Failure to do so may result in the inability to process your complaint.
Current Contact Information:
- Name
- Address (please indicate home or work)
- Phone number(s) (please indicate cell, work or home number)
- Email address
- Preferred method of contact
Information about Your Complaint:
- Include the date and location of the alleged violation. Please state if the violation is ongoing.
- Include Information about the individual, office, or process you are complaining about.
- Please explain which civil liberty was violated and summarize how the violation took place. Please keep this section as concise as possible.
- Note if the violation was reported to any other authorities and if any action was taken.
- Include your signature and the date.