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How to Submit a Statement

If you are the subject of a report, you may add or edit a statement at anytime. The subject statement is your opportunity to provide additional information you would like included with the report. However, you cannot modify, correct, or void the report—only the reporting organization listed in Section A of the report may do so.

Your subject statement becomes part of the report and remains with the report unless you edit or remove it. The statement is sent to the reporting organization, all querying organizations who received a copy of the report within the past 3 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 personally identifiable information. If such information is discovered, we will redact it. Subject statements may characterize individuals in terms of their relationships (e.g., the patient, the attending physician).

Note: The system will time out after 60 minutes. You may want to write the statement elsewhere and then paste it into the Subject Statement section.

Submit a Statement

  1. On the home page, select Sign In to View Your Report.
  2. On the Sign In page, enter the account ID and password, then select Sign In.
    Note: If you are signing in to your report for the first time, use the report number and password on the notification letter.
  3. On the Practitioner Identification page, enter your date of birth and your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN), then select Continue.
  4. On the Your Reports page, select Updates and Options for the report you wish to access.
  5. On the Options page, select Add/Update a Statement or Dispute to go to the Respond to a Report page.
  6. On the Respond to a Report page, go to the Your Statement section. You can change your statement or add a statement of up to 4,000 characters.
    Note: We will redact any personally identifiable information, such as names or phone numbers. You may characterize individuals in terms of their relationships (e.g., the patient, the attending physician).
  7. Complete the Certification section and select Submit to the NPDB. We will review your statement for any personally identifiable information and notify you when your statement is added to the report.
  8. On the Subject Statement and Dispute Status page, select View Report to view and save a PDF of the report.