COMPLAINT FORM - Online submission to allow anyone the ability to file a complaint against a current Arizona dental licensee. Two Willow Street The program is not able to accept complaints against non-member dentists. If a health care professional or facility violates standards of professional conduct, you have a right to file a complaint with the Bureau of Health Professions Licensure. We use cookies to improve your experience on our site and … Send her a written complaint letter (be polite, professional in your review of the situation) - she truely might just be oblivious to patient's feelings. If we determine your allegations are possible violations of laws or regulations: We may, in our discretion, investigate an anonymous complaint if: We will use this information to improve the site. The state dental board also accepts complaints against licensed and unlicensed individuals, investigates allegations, and takes disciplinary actions for violations of law. Complete the form and mail it to the address given on the form. Mass.gov® is a registered service mark of the Commonwealth of Massachusetts. Should the Committee find in the dentist’s favor, it can affirm that the treatment in question is appropriate and meets the community standard of care. The Department of Health Professions receives complaints about Virginia healthcare practitioners who may have violated a regulation or law. Complaints submitted to the Massachusetts Board of Registration in Dentistry (BORID) or are otherwise the subject of legal action will also not be accepted. Choose the complaint form you need, depending on the practice type. OPTION 4 File a complaint with the Ohio State DentalBoard. Arizona State Board of Dental Examiners . Virginia Board of Dentistry Frequently Asked Questions. Some complainants contact us seeking a resolution that we cannot provide. The parties then exchange discovery, which includes documentation such as the patient’s dental records, records of any subsequent treatment, and evidence of the treatment costs incurred by the plaintiff and/or his or her dental insurer. The Board accepts and investigates complaints against dentist and hygienists. There are three ways that you can file a complaint: Call to have a Complaint Form mailed to you (916) 263-2300, OR; Use the On-line Complaint Form, OR; Download and Print a Complaint Form; Information Collection, Use and Access Collection and Use of Personal Information. Forms are listed below under Downloads. Should the Committee decide in the patient’s favor, it can make recommendations for partial refunds, full refunds, or that the treatment be re-done by the original dentist. For information on filing a complaint call 1-800-442-8106 or email conduct@nysed.gov.Please note, complaints must be submitted in writing and cannot be filed by … this process and its guidelines, contact your local Dental Association Peer Review Committee. Professional misconduct includes the following but is not limited to: Permitting or aiding an unlicensed person to perform activities requiring a license; Practicing beyond the scope of the profession If you prefer, you may submit a complaint in writing, by email, surface mail or fax, or by audio or videotape. In a dentist's office, school, or other facility not regulated by the State Department of Health, the dentist, dental hygienist, or certified dental assistant must display a current New York State registration certificate that lists the practitioner's name, address, and license number. 1740 W Adams Suite 2470 . 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