PDA Complaint Form

Philippine Dental Association
Committee on Ethics and Conduct

Click to view and download: Philippine Dental Association Complaint Form.

PLEASE FOLLOW INSTRUCTIONS:
• All inquiry below should be answered completely. Type or print in black ink.
• Describe the inquiry/complaint in a CLEAR and CONCISE manner as the basis for the request.
• Additional materials may be submitted if they are necessary to your inquiry / complaint / request.
• Additional testimony can be given at the Validation Interview / Mediation meeting.
• Please SIGN the form and have it authenticated by a notary public.

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