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Complaints
Please click here for details of the
COMPLAINT PROCESS
.
If you prefer a paper form to print and mail / fax -
CLICK HERE
Please use the online form below to submit a complaint.
All fields marked with a
*
are required.
*
Your Name:
*
Your Address:
*
City:
*
State:
*
ZIP:
*
Telephone
(format: 3345551234)
:
*
Email:
*
How did you learn about the Respondent?:
*
Name of Massage Therapist or Establishment (Respondent):
*
Address:
*
City:
*
State:
*
ZIP:
*
Telephone
(format: 3345551234)
:
*
Date of Rendered Services or Visit:
*
Please explain the entire circumstances surrounding your complaint including your attempts to solve the problem:
*
Today's Date: