Facility Incident Report

This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.

Incident reporting for licensed healthcare providers only.

Licensed healthcare providers, are now required to use the online form below for all incident reporting required for your facility type. This does not replace the Federal and State mandated timeframe to call the Hotline as a first notice, but does replace both e-mailed and faxed reports currently in use.

Resuming a Partial Submission

Be sure to record the return code provided upon partial submission of an incident in order to resume the report later. MSDH staff are not able to provide this code to you.

Last reviewed on Jun 29, 2026 request edits
Mississippi State Department of Health 570 East Woodrow Wilson Dr Jackson, MS 39216 866‑HLTHY4U Contact and information

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