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Fillable Online Consumer Complaint Form Medical Board of
Guide to the Complaint Process” for additional information.
3.
Attach a copy of any supporting documents you may have in your possession pertaining to your specific
complaint; documents may include patient records, photographs, audio or video recordings,
correspondence, billing statements, proof of payments, autopsy/toxicology report, police report, court
documents, etc.
4.
Please sign and date the complaint form.
5.
Complete the “Authorization for Release of Information For The Subject...
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