NATURE OF COMPLAINT
Please write about the nature of complaint, i.e. whether your complaint is about a behavior, business activity, or a lawsuit file from your patients or colleagues.
Please Describe what would you like to see happen as a result of this complaint
State your complaint in chronological order and in detail. In addition, please include dates of treatment and list all relevant treating providers specific to your complaint. It is important that you be specific regarding any allegations of substandard care. Providing a comprehensive narrative of your complaint allows for a more expeditious review process.