California complaint dental board 2026

1. Click ‘Get Form’ to open the California Complaint Dental Board form in the editor.
2. Begin by filling in the 'Complaint Registered Against' section. Enter the name of the dental office, along with your details including name, address, city, state, zip code, and office phone number.
3. Next, complete the 'Person Registering Complaint' section. Indicate your title (Mr., Mrs., Ms.), provide your name, relationship to the patient, home phone number, and address.
4. In the 'Details of Complaint' section, specify dates of visits and describe your complaint in detail. Ensure you include as much information as possible for a thorough review.
5. If applicable, fill out the 'Supplemental Complaint Information' by listing any other dentists seen since treatment related to your complaint.
6. Finally, sign and date the form at the bottom to authorize its submission. Make sure to attach any necessary supporting documents.

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