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File a Complaint
If you are a student currently enrolled in a program or you are a former student, potential student, faculty or any other interested party and you have a concern about a CAAHEP accredited program, please read our
Complaint Policy
.
If after reading the policy, you wish to file a complaint please complete the form below. All complaints must be written or submitted online and contain a signature upon submission.
All Fields Required.
First Name:
State the nature of the complaint in five sentences or less below:
Have you completed any internal complaint procedure?
Yes
No
Briefly describe your efforts to resolve the complaint below:
Middle Initial:
Last Name:
Street Address:
City:
State:
Please Select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
Phone:
Fax:
Email Address:
Name of College
or University:
College or
University City:
College or
University State:
Please Select...
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Type of CAAHEP
accredited program:
Select a Profession...
Anesthesiologist Assistant
Cardiovascular Technologist
Cytotechnologist
Diagnostic Medical Sonographer
Electroneurodiagnostic Technologist
Emergency Medical Technician-Paramedic
Exercise Physiology
Exercise Science
Kinesiotherapist
Lactation Consultant
Medical Assistant
Medical Illustrator
Orthotic & Prosthetic Technician
Orthotist/Prosthetist
Perfusionist
Personal Fitness
Polysomnographic Technologist
Respiratory Therapy
Specialist in Blood Bank Technology
Surgical Assistant
Surgical Technologist
Status in Relation to the
College or University:
Please Select...
Student
Parent
Faculty
Community Employer
Other
Current Student
Status if Applicable:
Please Select...
Applicant
Enrolled
Graduated
Probation
Withdrawn
Terminated
Other
Digital Signature:
By entering my name above, I consent to the use of this electronic method of contract acceptance under the U.S. Electronic Signatures in Global and National Commerce Act (E-Sign); and I have read and agree to the terms and conditions in CAAHEP
Copyrights and Permissions
.
Submit