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Arizona Regulatory Board Of Physician Assistants
Arizona Regulatory Board of Physician Assistants

Complaint Process

   
The Board's Authority:   The complainant should be aware of the Board's statutory authority, which is to regulate Physician Assistants (P.A.'s) under the Arizona Medical Practice Act.  The Board does not want to discourage the filing of a valid complaint, however, as an administrative agency, The Board's jurisdiction and authority are limited.  Only violations of this act fall under the Board's jurisdiction and may result in disciplinary action against a medical doctor.
   
Understanding the Process... The Adjudication Process was developed to ensure thorough investigations, faster case resolution timeframes and opportunity for all parties involved to provide information to the Board.  It is important, when either filing a complaint or responding to a complaint, to make sure that all information about the case is made available to a member of the staff of the Arizona Medical Board.
   

Helpful hints when preparing for your case...

Most cases will go through the first two stages of the process.  After Stage 2, some cases will be dismissed by the Executive Director and others will be forwarded to the Review Committee and/or to the Full Board for final resolution.  You will be notified of the status of your case during each stage of the process.
 

Complaints Process - Instructions

This complaint form may only be used to file a complaint against a medical doctor (M.D.), doctor of osteopathy (D.O) or physician's assistant (P.A.)   If you wish to file a complaint against a health provider other than an M.D., D.O. or P.A., please check here for a list of other licensing agencies; find the type of health care provider you wish to file a complaint about; and, contact the corresponding licensing agency.
   
1. Complete the enclosed complaint form, treatment information form and medical records release form.
2. Provide the full name of the medical doctor (M.D.), doctor of osteopathy (D.O) or physician assistant (P.A.) that you wish to file a complaint against. You may name more than one doctor per complaint.
3. Complete a detailed narrative statement outlining your complaint in chronological order.
4. Provide the names of all other health care providers who have evaluated or treated the patient for the same medical condition, either before or after the subject physician, including physicians, hospitals and emergency rooms, urgent case centers and radiology (x-ray) facilities.  Please provide the dates of treatment for each health care provider.
5. Provide the full name, address and daytime telephone number of any witnesses that can provide evidence to support your complaint, as well as, a brief statement about what evidence the witness is able to provide.
6. Provide a copy of any supporting documents you have in your possession pertaining to your specific complaint, i.e., copies of medical records, explanation of Medicare Benefits (EOMB) or other insurance payments, billings, correspondence, etc.  Please do not provide the Board with your original documents
Download complaint forms Click here
Please be advised, the Board's complaint files and records are confidential investigative materials, and by law, availability is restricted pursuant to Arizona Revised Statutes (A.R.S.) §32-1451.01.  Ensure you have all of your complaint information available prior to the commencement of completing your complaint.  Complete and submit your complaint in one session.  Currently we do not support the on-line capability to retrieve and edit a complaint once it has been submitted.