Enquiry Request Form

You can submit an enquiry request to OPPQ’s Office of the Syndic if you believe a member has violated the Professional Code, the Code of Ethics for Physiotherapists and Physical Rehabilitation Therapists, or any other OPPQ regulation.

Identification of professional
Last name*
First name*
Street and number*
City*
Postal code*
Phone number
Job title
- Physiotherapist
- Physical Rehabilitation Therapist
Claimant information
Last name*
First name*
Street and number*
City*
Postal code*
Email*
Phone number*
Reason for requesting an enquiry
Briefly explain the nature of the alleged offence.*
Attach any supporting documents you may have.
Drop files here or

Accepted file types: doc, docx, xls, pdf, txt, jpg, jpeg, gif, png.
Claimant objectives
Explain what your expectations are.
Signature
Acceptation*
- I, the undersigned, certify that the information provided is true to the best of my knowledge. I agree to cooperate, testify, and provide all information, documents, or other information required for the purposes of the enquiry until its conclusion.
Full name of claimant*
Date*
Date Format: DD slash MM slash YYYY
Name
This field is for validation purposes and should be left unchanged.