Complaint Form

If you would like to file a complaint against an Iowa dentist, dental hygienist, or dental assistant, you may do so by downloading a complaint form and mailing it to our office. Click HERE for Portable Document Format (.PDF) version.

You may also complete an online version of a complaint form, which you can complete and submit electronically. Click HERE to go to the online version.
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Several documents throughout this Web site are available in Portable Document Format, called PDF. The creator of this file format, Adobe Systems, offers a free viewer so that you can view and print out any PDF file. It is called Adobe Acrobat Reader. You can easily download the program and install it on your computer. Installation instructions are available at the Adobe Systems Web site.

Click the following icon to proceed with downloading and installing Adobe Acrobat Reader: