Washington State
Medical Quality Assurance Commission
[Top] [Response]
Patient Report Form
Department of Health
Medical Quality Assurance Commission
P.O. Box 47866
Olympia, WA 98504
Your Name: Gary Burlingame
Address: ---------------
City: ------------- State: WA Zip: -----
Phone: Work (---) -------- Home (---)
--------
Report Information
Please complete the following information concerning the
physician against whom you wish to register this report. The following
information would help avoid delay in processing your report. Please supply as
much information as you can on this form. Thank you.
Name of Physician (s):
Joseph Oliver Lasby, MD
Address: 16519 190th Ave
Woodinville WA 98072-9173
Dates or time period you received treatment, service, or other.
Shortly after my birth in July, 1952
Have you discussed your report with the physician or his/her
office/business?
No
Please state your concerns in the space provided below. Please
be as specific and complete as possible. You may attach additional sheets if
necessary. You will receive an acknowledgment letter once your report is
received.
Dr. Lasby amputated my healthy foreskin. There was nothing wrong
with it, there was no medical justification for removing it.
I have found that this unconsented surgical procedure has harmed
me greatly.
Please tell me how you will ensure that this will not happen to
any more infants.
Sincerely,
[signed]
Gary G. Burlingame
[Top] [Complaint]
STATE OF
WASHINGTON
DEPARTMENT OF HEALTH
1300 SE Quince St • P.O. Box 47866 •
Olympia, WA 98504-7866
April 21, 1999
Gary Burlingame
[address]
RE: Joseph O. Lasby, MD
Dear Mr. Burlingame:
The Department of Health has reviewed you complaint concerning Dr. Lasby. Dr.
Lasby has not had a license to practiced medicine in the State of Washington
since May, 1978. Since Dr. Lasby is not currently licensed, the Medical Quality
Assurance Commission does not have jurisdiction in this matter. For this reason
a complaint will not be opened or investigated.
I am not aware of any state agency of organization that has jurisdiction over
your 47 year old complaint.
If I can be of further assistance or answer any questions, please contact me
at 360-236-4798.
Sincerely,
[signed]
James H. Smith, Chief Investigator
Medical Quality Assurance Commission
[Top] [Complaint]
[Response]
