DEPARTMENT OF PUBLIC HEALTH
DPH FLIS - Facility Licensing & Investigations Section(FLIS)
Registration Page
First Name
*
MI
Last Name
*
Phone Number
*
Email
*
Facility Type
Hospital/ASC (Adverse Events)
Nursing Homes (Reportable Events)
Behavioral Health (Reportable Events)
User Name
*
Choose a username that is 6-50 characters long.
Username cannot contain any spaces
Password
*
Password must be at least 8 characters.
Password must include both upper-case and lower-case letters.
Password must include one or more numbers (0-9).
Password must include at least one special character (@, #, $, etc).
Confirm password
*
Back to Home Page