FAIRFAX MEDICAL FACILITIES, INC.
PATIENT COMPLAINT FORM
Please fill out this form in it’s entirety. Incomplete forms cannot be processed. Please allow 48 to 72 hours for a response.
**DISCLAIMER** The electronic form below is sent to our administration via unsecured email. If you are not comfortable with this you may download a printable form linked at the bottom of this page.
Right click and save the following link for a printable complaint form: PRINTABLE PATIENT COMPLAINT FORM Please mail a filled out form to Jenette Chambers DON 160 N. Main Fairfax, Oklahoma 74637.