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North Carolina Department of Health and Human Services – Health Care Personnel Registry (HCPR) fax number
(919) 733-3207
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Health Care Personnel Registry (HCPR), Division of Health Service Regulation (DHSR), North Carolina DHHS
Used for: Submit 24-hour initial reports of allegations against health care personnel and subsequent 5-working-day investigation reports to HCPR; notifications of investigation conclusions to reporting entities.
Fax destination details
- Department
- Health Care Personnel Registry (HCPR), Division of Health Service Regulation (DHSR), North Carolina DHHS
- Purpose
- Submit 24-hour initial reports of allegations against health care personnel and subsequent 5-working-day investigation reports to HCPR; notifications of investigation conclusions to reporting entities.
- Form
- Form No. 4501 — DHSR/HCPR Form No. 4501 Rev. 06/24/2014
- Address
- 2719 Mail Service Center, Raleigh, NC 27699-2719, USA
- Voice phone
- (919) 855-3968
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit in writing within 24 hours of becoming aware of the allegation; use Form No. 4501 for reporting to HCPR; further instructions appear on the form and DHSR/HCPR materials.
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