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How to Submit a Statement

If you are the subject of an NPDB report, you may add or edit a statement at any time to provide any additional information you would like included with the report. However, you may not modify, correct or void the report - only the reporting entity listed in Section A of the report is permitted to do so.

Your Subject Statement becomes part of the report and remains with the report unless you (the subject of the report) edits or removes it. The statement is sent to the reporting entity listed in section A of the report, all queriers who received a copy of the report within the past three years, and is included in future query responses. A statement must not include links (URLs) to websites, names of individuals, addresses, phone numbers, or any other confidential identifying information. If such information is discovered, the statement will be amended and the identifying information will be removed. Subject Statements may characterize individuals in terms of their relationships (e.g., the patient, the attending physician).

Note: When writing a statement, please note the system will time out after 60 minutes. You may write the statement in Microsoft Word or Notepad, then copy and paste it into the Subject Statement section.

Submit a Statement

  1. On the NPDB homepage, select Check Your Report.
  2. On the Sign In with a Report Number page, enter your report number and password, then select Sign In.
    Note: If you are signing into your report for the first time, use the report number and password listed on the notification letter to sign in.
  3. Read the information on the Rules of Behavior page, check the box to acknowledge the rules, and then select Continue.
  4. On the Practitioner Identification page, enter your date of birth and/or your SSN/ITIN. Select Continue.
  5. On the Report Response Options page, select Add a statement or dispute to this report.
  6. Read the Subject Statement and Dispute page carefully. You can add a statement up to 4,000 characters in the Subject Statement section.
    Note: A statement must not include links (URLs) to websites, names of individuals, addresses, phone numbers, or any other confidential identifying information. If such information is discovered, the statement will be amended and the identifying information will be removed. Subject Statements may characterize individuals in terms of their relationships (e.g., the patient, the attending physician).
  7. Verify your information and update it if necessary. Enter your Certification Data (your name, title, and phone number) and submit.
  8. On the Subject Statement and Dispute Status page, select View Report to view a PDF version of the report that you can save for your records.
  9. Select Return to Report Response Options to view your Activity History or reply to an NPDB message.