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If you are not the patient please describe your relationship to the patient (parent, guardian, spouse, child, relative, lawyer, friend) and provide details about the patient below:
Please Note: If you are making a complaint on behalf of another individual, the College may require the individual to provide consent to access personal information relating to the complaint. A consent form will be provided with the acknowledgment letter. If you are a regulated health professional, employer or facility operator who wishes to report the sexual abuse of a patient, please click here for more information.
Telephone and Regular/Registered Mail: The College may need to communicate with you in writing or via telephone regarding your complaint. Written correspondence is typically sent via regular and/or registered mail.
Email Correspondence: In order to ensure prompt and efficient consideration of your complaint, the College may also communicate with you via email. The College will not send personal health information or other sensitive information via email unless you indicate below that it is your preference to receive all written correspondence from the College via email. The College recognizes that email may not be secure, and while we take steps to protect all emails, we cannot guarantee the security and confidentiality of any email you receive from the College.
Please indicate below if you prefer to receive all written communications from the College via email:
Please provide as much information as possible.
If applicable, you may add additional registrant names below
Please provide as much detail about your complaint as possible, including the following: *
If you wish to provide any supporting documents, please upload them below.
Add Another Document
The College will send written notice of your complaint to the Registrant, together with a copy of the Complaint Form. **Please note, however, that the Complainant/Patient Contact Information Sheet will not be disclosed to the Registrant.
You will receive an email confirmation, with a copy of your complaint upon submission.