Complaint Form

This form allows you to submit a complaint about a health professional regulated by CCHPBC. (If you have a concern regarding unauthorized use of a reserved title or unauthorized practice, please do not use this form and instead contact us at ac.cbphcc@stnialpmoc for more information.)

CCHPBC will not receive any information until you have filled all mandatory fields below and clicked the “Submit” button.

If you have any questions as you are filling out the form, please call CCHPBC at 604-742-6670.

Please note: CCHPBC is unable to accept anonymous complaints. CCHPBC is required by law to share a copy of your complaint, including your name, with the health professional. However, CCHPBC will not share your personal contact information (i.e., personal email address or phone number, or home address) with the health professional. For more information regarding CCHPBC’s collection and use of personal information submitted through the College website, please review our privacy policy.

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Your Information

Name*
Address*

Professional You Are Complaining About

To look up a practitioner see Licence Verification here

Complaint

Describe the incident(s) that caused your concern(s) about the professionals conduct or competence, including when and where the incident(s) occurred.
If there were any witnesses to the incident(s), please provide their names and contact information.
Do you have any additional information to provide as part of this complaint?
Max. file size: 5 MB.
If there are any physical evidence related to your complaint, please preserve that evidence. Any electronic evidence that are bigger than 5mb max can be copied or sent in electronic form to ac.cbphcc@stnialpmoc
This field is for validation purposes and should be left unchanged.