File a Complaint

Please read all announcements to learn of current COVID-19 Accommodations. New Announcement Posted 4/14/2020 Regarding Public Comment Period for Proposed Temporary Rule. View Announcement Posted 4/16/2020 for Information Regarding Proposed Emergency & Temporary Rules

Complaint Process

Complaints are given to the licensee for his/her review and opportunity to provide a response. Complaints are reviewed by an independent probable cause investigator who drafts a letter of recommendation for the Board’s review. After review, one of the following decisions is made regarding disposition of the complaint: write letter to complainant dismissing complaint; request additional information before accepting complaint; determine probable cause exists and recommend notice of hearing and disciplinary complaint be served upon licensee; or turn complaint over to a sub-committee of the Board for settlement conference and/or informal investigation conference. The Board expects complaints to be filed only after thorough and complete investigation and cannot accept additional information once a formal Notice of Hearing is issued. Complaints become public record if and when a disciplinary hearing is held or a consent agreement is negotiated for the purpose of disciplinary action and, therefore, reportable to all relevant databanks and/or organizations. The party who filed the complaint will be notified of the final disposition of that complaint.
Who is filing the complaint?
Name*
Prefix First Middle Last
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Who is the complaint filed against?
Only the name is required, but please provide as much identifying information as possible.
Name*
Prefix First Middle Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
License Number
Complaint Details
Nature of Complaint*
- Administrative/Recordkeeping (21 NCAC 64 .0209)
- Fraud (90-301(1)(2); 90-301A(1)
- Advertising (90-301A(3); 21 NCAC 64 .0214)
- Professional Misconduct (90-301(5)
- Fees & Billing Practices (90-301A(1)&(7)
- Unlicensed Practice (90-294(b)
- Other
Other*
Please explain your complaint. All possible violations may be found in the Statute & Rules.
Documentation
Please add any documentation that will support the complaint.
Drop files here or
Consent*
By submitting this complaint, I hereby swear to the truthfulness of the foregoing statements and attachments.
I swear
Email print version of completed form
Would you like a PDF version of this completed form emailed to you?*
- Yes
- No
Email (for PDF delivery)*
Please enter an email address to receive a copy of this completed form.
Post Body*
Please provide the details of your complaint.

Save and Continue Later

Please read all announcements to learn of current COVID-19 Accommodations. New Announcement Posted 4/14/2020 Regarding Public Comment Period for Proposed Temporary Rule. View Announcement Posted 4/16/2020 for Information Regarding Proposed Emergency & Temporary Rules

Complaint Process

Who is filing the complaint?

Who is the complaint filed against?

Complaint Details

Email print version of completed form

Discipline & Compliance