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Submit a concern

How to submit

There are only three things we need to begin the process:

  1. Your name and contact information. Or if you are submitting on behalf of someone else, the name of that person (either you or someone you are acting for).
  2. The name of the health professional involved.
  3. Details of your concern.

A PDF version for print of the form is available here. You can submit it by mail to BCCOHP at 110 – 1765 8th Ave W, Vancouver, BC V6J 5C6.

Concern submission form

About you

An email confirmation will be sent to this address.

Who is your concern about?

Full name of the oral health professional (registrant) you are complaining about:

If you are making a complaint about more than one oral health professional, please complete a separate concern form for each. Please note all concern submissions require names of oral health professionals. Names of dental clinics alone is insufficient.

Details of your concern

Please provide as many details as possible, including:

  • Description of your concern
  • Dates of treatment and/or interactions with the oral health professional
  • Whether you have attempted to resolve this issue with the oral health professional, and if so, what the results were
  • any relevant documents/records
  • description of your ideal resolution (outcome) of this concern
Drag & Drop Files, Choose Files to Upload You can upload up to 6 files.
If you have more than 6 supporting documents, you can upload a zip file containing all of your supporting documents.
Please list the name(s) of any other BCCOHP oral health professionals who were involved in the events that led to your concern or who have knowledge of your oral health care status.

I agree that as part of the investigation of my complaint:

  • BCCOHP will review all information and provide a copy of my concern to the health professional who is the subject of my concern so that they can respond to it.
  • BCCOHP may ask other oral health professionals involved in this matter to provide them with relevant reports and/or patient records.
  • BCCOHP will use all information provided to evaluate if my concern requires a full investigation or can be collaboratively resolved with the oral health professional.
  • All outcomes of the Investigations and Resolutions process will be determined based on the information and documents provided by you and oral health professionals.
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