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Click ‘Get Form’ to open the California Complaint Dental Board form in the editor.
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.
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.
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.
If applicable, fill out the 'Supplemental Complaint Information' by listing any other dentists seen since treatment related to your complaint.
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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What are at least four reasons for disciplinary actions by the dental board?
Refers serious, substantiated cases for administrative disciplinary proceedings or prosecution. If an investigation finds repeated acts of negligence, gross negligence, incompetence, or unprofessional conduct, a dentists license may be revoked per Business and Professions Code (BPC) section 1670.
How do I complain to the Dental Board of California?
Tooth decay is also known as dental caries or dental cavities. It is the most common dental problem that dentists see in patients. Practically everyone, at some point in their life, has experienced tooth decay. Tooth decay occurs when bacteria form a film, called plaque, on the surface of teeth.
How to file a complaint with the Dental Board of California?
You can file a complaint online at DCA BreEZe Online Services, DCAs online complaint portal. You can also complete a Consumer Complaint Form and submit it to the Board by email or regular mail. Please send a message to the Board for instructions about emailing forms.
What to do if you are unhappy with dental work?
If an investigation finds repeated acts of negligence, gross negligence, incompetence, or unprofessional conduct, a dentists license may be revoked per Business and Professions Code (BPC) section 1670.
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by DA Davis 2023 It licenses applicants who pass the exam and meet Board requirements for licensure, sets standards for dental practice, and disciplines
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