How to file a complaint against a psychiatrist in Missouri 2025

1. Click ‘Get Form’ to open the complaint form in the editor.
2. Begin by filling out the 'Complainant Information' section. Enter your last name, first name, prefix, telephone number, address, email address, and relationship to the patient.
3. Next, complete the 'Patient Information' section. Provide the patient's last name, first name, and address if different from yours.
4. In the 'Subject of Complaint' section, enter the licensee's last name, first name, profession, and license number if known. Include their address and telephone number.
5. Write a clear and concise description of your complaint in chronological order. Be sure to include relevant details such as dates, names, places of treatment, and any physical harm incurred.
6. Sign and date both the complaint form and the authorization for release of medical information form. Ensure no alterations are made to avoid voiding the forms.
7. Attach any related documents that support your complaint before submitting it through our platform.

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