COVID-19 : I am a Patient / I am a Professional

  • Identification of the person or organization being reported (not an OPPQ member)

  • Claimant information

  • Restricted activity you believe is being practiced illegally

  • Title you believe is being used illegally

  • Why you are filing a report

  • Evidence of Illegal Practice

  • (business card, advertisement, website, Facebook page, invoice for services, etc.)
    Drop files here or
    Accepted file types: doc, docx, xls, pdf, txt, jpg, jpeg, gif, png, Max. file size: 4 MB.
    • This field is for validation purposes and should be left unchanged.