If you have any complaint about privacy or confidentiality, you may contact JPHSA’s Privacy Officer at 3616 S. I-10 Service Road W., Suite 200, Metairie, LA 70001, 504-838-5215, ext.210.
If you prefer to mail your feedback rather than submit electronically, you can download a printable version of this form. Completed forms may be emailed (myjphsa@jphsa.org) or mailed (JPHSA, 3616 S. I-10 Service Road W., Suite 200, Metairie, LA 70001, Attn: CPS).
Visit this link to provide feedback on a Spanish version of this digital form.