Complaint Form

Description

This form is used to file a formal complaint against a licensed chiropractor or registered chiropractic assistant (CA) in Maryland. The Board reviews all complaints to determine whether there has been a violation of the Maryland Chiropractic Act.

Complainants should provide detailed information about the individual involved, the nature of the complaint, relevant dates, and any witnesses. Supporting documents may be attached. The Board cannot investigate billing disputes or issues outside its authority.

Estimated Time to Complete: 15–20 minutes, depending on the complexity of the complaint and supporting information.

 

Required Documentation

Important: Please have all required documentation ready before purchasing (if applicable). You will submit these documents during the online process.

Documentation to be sent by the applicant or license/registration holder:
  • Completed .pdf Application

The documents listed are generally required to meet Board requirements. Additional documentation may be requested if necessary.

Instructions

Download & Complete Form

Download Form

Submit Your Documents

Email completed documents to: mdh.chiropractic@maryland.gov