Report a Medical Privacy Complaint

To report a HIPAA violation in a Salt Lake County Health Department clinic, fill out the form below or write to our privacy officer.

Privacy Officer

Salt Lake County Health Department

Mailing Address 2001 South State Street , Ste S-2600
PO Box 144575
Salt Lake City, Utah 84114

Name*

Company

Email Address*

Phone Number*

Date of Incident*

Time of Incident

Description of Incident*

Keep my name confidential